Organization
LHMG PHYSICAL THERAPY, LLC
Active
Other names
AAMG Physcial Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (SENIOR MANAGER)
(443) 481-6415
Entity
Organization
Contact information
Practice address
1630 MAIN ST STE 109, CHESTER, MD 21619-2792
(443) 481-1140
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
(443) 481-5618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
10/15/2019
Last updated
05/24/2021
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