Organization
ADVANTAGE FITNESS & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS GRIMMEL SR. (VICE PRESIDENT)
(410) 750-7500
Entity
Organization
Contact information
Practice address
6336 CEDAR LN, SUITE 150, COLUMBIA, MD 21044-3897
(410) 750-7500
Mailing address
6336 CEDAR LN, SUITE 150, COLUMBIA, MD 21044-3897
(410) 750-7500
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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