Organization
TRC MID ATLANTIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK FIORINO P.T. (PRESIDENT)
(410) 296-8888
Entity
Organization
Contact information
Practice address
2760 PINE GROVE RD, YORK, PA 17403-5170
(717) 741-5118
Mailing address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
(410) 296-6745
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50023719
CAPITOL BLUE CROSS
PA
Enumeration date
06/30/2005
Last updated
12/31/2007
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