Organization
CHESAPEAKE PHYSICAL AQUATIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED S GOLDSTEIN MPT (OWNER)
(410) 381-7000
Entity
Organization
Contact information
Practice address
6785 BUSINESS PKWY, ELKRIDGE, MD 21075-6353
(410) 579-8999
(410) 782-4308
Mailing address
PO BOX 21277, CATONSVILLE, MD 21228-0777
(410) 719-8661
(410) 719-8996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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