Organization
EVOLUTION SPORTS PHYSIOTHERAPY - WHITE MARSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN SANDFORD JOHNSON JR. PT, DPT (OWNER / PARTNET)
(443) 955-3515
Entity
Organization
Contact information
Practice address
10540 YORK RD, SUITE F, COCKEYSVILLE, MD 21030-2300
(443) 955-3515
(410) 628-0542
Mailing address
11605 CROSSROADS CIR, D-E, MIDDLE RIVER, MD 21220-2865
(443) 955-3515
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20554
MD
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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