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Organization

RECHARGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENE SHIROKOBROD DPT (CEO)
(443) 583-7093
Entity
Organization

Contact information

Practice address
5136 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7921
(443) 583-7093
Mailing address
5136 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7921
(443) 583-7093

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/31/2017
Last updated
07/21/2022
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