Organization
LHMG PHYSICAL THERAPY, LLC
Active
Other names
Luminis Health PT Bowie
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (SENIOR MANAGER)
(443) 481-6415
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD STE B116, BOWIE, MD 20716-3143
(301) 464-4503
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
05/24/2021
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