Organization
CANTON ORTHOPAEDIC & SPORTS REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETERS (OFFICE MANAGER/ADMINSTRATOR)
(410) 522-6978
Entity
Organization
Contact information
Practice address
808 S CONKLING ST, BALTIMORE, MD 21224
(410) 522-6978
(410) 522-0290
Mailing address
801 UMBRA ST, BALTIMORE, MD 21224
(410) 522-6978
(410) 522-0290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17174
MD
Other
Enumeration date
11/14/2007
Last updated
08/30/2023
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