Organization
WAKEFIELD PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WAKEFIELD P.T. (PHYSICAL THERAPIST, OWNER)
(410) 991-7880
Entity
Organization
Contact information
Practice address
416 TIMBER LN, GRASONVILLE, MD 21638-1263
(410) 991-7880
Mailing address
416 TIMBER LN, GRASONVILLE, MD 21638-1263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18866
MD
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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