Organization
BAYSIDE PHYSICAL THERPAY AND SPORTS REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN C. WRENN D.P.T. (VICE PRESIDENT)
(410) 956-4308
Entity
Organization
Contact information
Practice address
3179 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2665
(410) 956-4308
Mailing address
3179 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2665
(410) 956-4308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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