Organization
CHARLESTOWN
Active
Other names
out patient rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WAGNER (DIRECTOR)
(410) 600-2334
Entity
Organization
Contact information
Practice address
715 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5999
(410) 247-2340
Mailing address
715 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5999
(410) 247-2340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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