Organization
MAX BLOOM RPT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SHARON WHITE (GENERAL MANAGER)
(410) 788-0505
Entity
Organization
Contact information
Practice address
583 FREDERICK RD, SUITE 4, BALTIMORE, MD 21228-4697
(410) 788-0505
Mailing address
583 FREDERICK RD, SUITE 4, BALTIMORE, MD 21228-4697
(410) 788-0505
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10280
MD
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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