Organization
ADVANTAGE LIFE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETTA HOLLY PT (OWNER)
(410) 458-4557
Entity
Organization
Contact information
Practice address
104 CHURCH LN, SUITE 126, PIKESVILLE, MD 21208-3786
(410) 484-6127
Mailing address
104 CHURCH LN, PIKESVILLE, MD 21208-3786
(410) 484-6127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20692
MD
Other
Enumeration date
06/04/2014
Last updated
07/13/2015
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