Organization
MOUNT WASHINGTON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WIES PT (OWNER)
(410) 913-9829
Entity
Organization
Contact information
Practice address
1501 SULGRAVE AVE, SUITE 307, BALTIMORE, MD 21209-3654
(410) 542-6878
Mailing address
2201 CROSS COUNTRY BLVD, BALTIMORE, MD 21209-4223
(410) 913-9829
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18331
MD
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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