Organization
KASSIMIR PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. KASSIMIR P.T., C.H.T. (OWNER)
(410) 415-5905
Entity
Organization
Contact information
Practice address
1777 REISTERSTOWN RD, SUITE 130, PIKESVILLE, MD 21208-1306
(410) 415-5905
(410) 415-5906
Mailing address
1777 REISTERSTOWN RD, SUITE 130, PIKESVILLE, MD 21208-1306
(410) 415-5905
(410) 415-5906
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
16224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590500100
—
MD
Enumeration date
01/19/2006
Last updated
01/05/2015
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