Organization
PERFORM FOR LIFE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY M SIMMONS (OWNER)
(410) 991-6978
Entity
Organization
Contact information
Practice address
537 BALTIMORE ANNAPOLIS BLVD STE D, SEVERNA PARK, MD 21146-3812
(410) 544-8444
Mailing address
537 BALTIMORE ANNAPOLIS BLVD STE D, SEVERNA PARK, MD 21146-3812
(410) 544-8444
(410) 544-7941
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
05/21/2020
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