Organization
CHARM CITY THERAPY
Active
Other names
Charm City Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ELANA WISE OT (OCCUPATION THERAPIST)
(404) 502-6942
Entity
Organization
Contact information
Practice address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
(410) 849-9496
Mailing address
2405 STEELE RD, BALTIMORE, MD 21209-3924
(410) 849-9496
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
05807
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050895100
—
MD
Enumeration date
10/23/2013
Last updated
08/09/2024
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