Organization
PENINSULA REHABILITATION & SPORTS MEDICINE, INC.
Active
Other names
Peninsula Rehab & Sports Medicine, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLEY K. ROGAN M.ED., PT, ATC (VICE PRESIDENT)
(410) 213-7878
Entity
Organization
Contact information
Practice address
12417 OCEAN GTWY STE 9, OCEAN CITY, MD 21842-9522
(410) 213-7878
(410) 213-7879
Mailing address
12417 OCEAN GTWY STE 9, OCEAN CITY, MD 21842-9522
(410) 213-7878
(410) 213-7879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19532
MD
225100000X
Physical Therapist
19831
MD
2251S0007X
Sports Physical Therapist
Primary
19831
MD
Other
Enumeration date
09/22/2006
Last updated
07/26/2007
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