Organization
ON TRACK REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN LATREACE LOGAN P.T. (OWNER)
(443) 415-0004
Entity
Organization
Contact information
Practice address
8839 KELSO DR, ESSEX, MD 21221-3141
(443) 415-0004
Mailing address
3702 BRENBROOK DR, RANDALLSTOWN, MD 21133-4116
(443) 415-0004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
20878
MD
261QH0100X
Health Service Clinic/Center
Primary
20878
MD
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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