Organization
HGI MOBILE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEMAN MILLER (OWNER)
(732) 668-6258
Entity
Organization
Contact information
Practice address
4511 MAINE AVE, BALTIMORE, MD 21207-7566
(732) 668-6258
Mailing address
4511 MAINE AVE, BALTIMORE, MD 21207-7566
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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