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Organization

ANNAPOLIS LYMPHEDEMA CENTER

Active
Other names
Annapolis Lymphedema and Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY D KINDER PT (PRESIDENT)
(410) 266-8010
Entity
Organization

Contact information

Practice address
2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
(410) 266-8010
(443) 782-2498
Mailing address
2525 RIVA RD STE 130, ANNAPOLIS, MD 21401-7437
(410) 266-8010
(443) 782-2498

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3010823
AETNA HEALTHCARE
MD
05
406989700
MD
01
50458
MAMSI HEALTH CARE
MD
01
KBY1AN
BLUE SHIELD OF MARYLAND
MD
01
S441
BLUE SHIELD OF DC
MD
Enumeration date
12/11/2006
Last updated
03/05/2024
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