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Organization

ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN CUMMINGS (OFFICE MANAGER)
(410) 208-3630
Entity
Organization

Contact information

Practice address
11070 CATHELL RD, UNIT 4, BERLIN, MD 21811-9344
(410) 208-3630
(410) 208-3632
Mailing address
11070 CATHELL RD, UNIT 4, BERLIN, MD 21811-9344
(410) 208-3630
(410) 208-3632

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
225XH1200X
Hand Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
754A
CAREFIRST GROUP #
MD
01
9000709DE
DELAWARE BLUE CROSS GROUP
DE
01
G02084
MEDICARE GROUP #
DE
01
J564
BLUE CHOICE GROUP #
MD
Enumeration date
10/12/2006
Last updated
11/06/2013
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