Organization
CHESAPEAKE PHYSICAL AND AQUATIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED GOLDSTEIN (OWNER)
(410) 381-7000
Entity
Organization
Contact information
Practice address
5435 BEAVERKILL RD, COLUMBIA, MD 21044-2359
(410) 740-0883
Mailing address
7081 DEEPAGE DRIVE, COLUMBIA, MD 21045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19984
MD
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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