Organization
PHYSICAL THERAPY AT CROSSROADS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SCHILLER PT, MS (CLINIC DIRECTOR)
(443) 393-3788
Entity
Organization
Contact information
Practice address
4801 DORSEY HALL DR STE 130, ELLICOTT CITY, MD 21042-7763
(443) 393-3788
(443) 378-3533
Mailing address
4801 DORSEY HALL DR STE 130, ELLICOTT CITY, MD 21042-7763
(443) 393-3788
(443) 378-3533
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20452
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695106600
—
MD
Enumeration date
05/05/2017
Last updated
02/27/2018
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