Organization
PERRY HALL CHIROPRACTIC & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R TRAVAGLINE DC (OWNER/CHIROPRACTOR)
(410) 256-9650
Entity
Organization
Contact information
Practice address
8817 BELAIR RD, SUITE 101, BALTIMORE, MD 21236-2445
(410) 256-9650
(410) 256-3339
Mailing address
8817 BELAIR RD, SUITE 101, BALTIMORE, MD 21236-2425
(410) 256-9650
(410) 256-3339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6HFPE
CARE FIRST BLUE CROSS BLUE SHIELD
MD
01
—
N5230000
GHMSI
MD
Enumeration date
10/23/2008
Last updated
08/11/2022
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