Organization
MARYLAND PHYSICAL THERAPY AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA KACHURINER DPT (OWNER)
(410) 913-5933
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD, SUITE 110, LAUREL, MD 20707-5263
(410) 913-5933
Mailing address
4982 DORSEY HALL DR, UNIT C5, ELLICOTT CITY, MD 21042-7775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20615
MD
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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