Organization
OPTIMAL PHYSICAL THERAPY AND INDUSTRIAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL LYNN TAMERIS MPT (PHYSICAL THERAPIST)
(301) 855-6326
Entity
Organization
Contact information
Practice address
10020 SOUTHERN MARYLAND BLVD, STE 103, DUNKIRK, MD 20754-3031
(301) 855-6326
(301) 855-6328
Mailing address
10020 SOUTHERN MARYLAND BLVD, STE 103, DUNKIRK, MD 20754-3031
(301) 855-6326
(301) 855-6328
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312442
AMERIGROUP PROVIDER NUMBE
MD
01
—
3128965
HMO PROVIDER NUMBER
MD
01
—
45519
IWIF PROVIDER NUMBER
MD
01
—
608478300
DOL PROVIDER NUMBER
MD
01
—
64468302
BCBS RENDING NUMBER
MD
01
—
743BOP
BCBS PROVIDER NUMBER
MD
01
—
K4980001
BCBS PROVIDER NUMBER
MD
Enumeration date
04/17/2007
Last updated
03/12/2013
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