Organization
MIND OVER MATTER HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA MARIA JOHNSON LCPC,ACS,LCAD-AS,MAC (CEO)
(410) 982-1353
Entity
Organization
Contact information
Practice address
616 OLD EDMONDSON AVE. STE. 4, BALTIMORE, MD 21228
(443) 405-1095
Mailing address
616 OLD EDMONDSON AVE. STE. 4, BALTO, MD 21228
(443) 405-1095
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
LC2133
MD
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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