Organization
ATLANTIC PHYSICAL THERAPY REHABILITATION AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CUMMINGS (CORPORATE MANAGER)
(410) 208-3630
Entity
Organization
Contact information
Practice address
1406 S SALISBURY BLVD STE B, SALISBURY, MD 21801-7162
(443) 736-4091
(443) 736-4358
Mailing address
11070 CATHELL RD STE 4, BERLIN, MD 21811-9344
(410) 208-3630
(410) 208-3633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713M
MEDICARE PTAN
MD
Enumeration date
11/22/2016
Last updated
11/23/2016
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