Organization
SEVERNA PARK PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANCIS VANWIE P.D. (VICE PRESIDENT)
(301) 346-2657
Entity
Organization
Contact information
Practice address
844 RITCHIE HWY, SUITE 208, SEVERNA PARK, MD 21146-4127
(410) 544-0773
(410) 544-0774
Mailing address
248 EARECKSON LN, STEVENSVILLE, MD 21666-3040
(410) 643-0877
(410) 643-1175
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
15365
MD
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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