Organization
HERITAGE HARBOUR PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MITCHELL (MEMBER)
(571) 208-3099
Entity
Organization
Contact information
Practice address
1783 FOREST DR # 307, ANNAPOLIS, MD 21401-4229
(571) 208-3099
Mailing address
1783 FOREST DR # 307, ANNAPOLIS, MD 21401-4229
(571) 208-3099
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
17650
MD
Other
Enumeration date
11/27/2017
Last updated
04/10/2020
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