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Organization

AQUAFIT PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH TRUITT P.T. (OWNER)
(410) 598-0603
Entity
Organization

Contact information

Practice address
8743 PINEY ORCHARD PKWY, SUITE 105, ODENTON, MD 21113-2343
(410) 598-0603
Mailing address
2208 CREST RD, BALTIMORE, MD 21209-4207
(410) 598-0603

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19302
MD

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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