Organization
KALOS SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WALLENDER (PHSICAL THERAPIST/OWNER)
(609) 364-3003
Entity
Organization
Contact information
Practice address
1 N HAVEN ST STE 3, BALTIMORE, MD 21224-1614
(609) 364-3003
Mailing address
1203 MCCLEARY TER APT 108, BEL AIR, MD 21014-4546
(609) 364-3003
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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