Organization
DUNDALK VILLAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY DESALES SCHROEN P.T.A, (VICE PRESIDENT, TREASURER)
(410) 282-9331
Entity
Organization
Contact information
Practice address
2 DUNMANWAY, SUITE 220, BALTIMORE, MD 21222-5144
(410) 282-9331
(410) 282-9332
Mailing address
2 DUNMANWAY, SUITE 220, BALTIMORE, MD 21222-5144
(410) 282-9331
(410) 282-9332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806700700
—
MD
01
—
LM06
CAREFIRST BLUE CROSS
MD
01
—
R058 0001
BLUE CHOICE
MD
Enumeration date
04/19/2007
Last updated
01/10/2013
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