Organization
CALVERT PHYSICAL THERAPY AND SPORTS FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J SMOOTZ (MANAGER OF OPERATIONS)
(410) 414-4846
Entity
Organization
Contact information
Practice address
10845 TOWN CENTER BLVD, SUITE 100, DUNKIRK, MD 20754-2712
(410) 257-5263
(410) 257-5341
Mailing address
120 HOSPITAL RD, SUITE 100, PRINCE FREDERICK, MD 20678-4022
(410) 535-8180
(410) 535-8325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15757
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406409701
—
MD
Enumeration date
10/07/2008
Last updated
10/07/2008
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