Organization
CALVERT PHYSICAL THERAPY AND SPORTS FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J SMOOTZ (PRACTICE MANAGER)
(410) 414-4846
Entity
Organization
Contact information
Practice address
14090 SOLOMONS ISLAND RD, SUITE 1500, SOLOMONS ISLAND, MD 20688
(410) 394-2838
(410) 326-2369
Mailing address
130 HOSPITAL RD, SUITE 103, PRINCE FREDERICK, MD 20678-4022
(410) 535-8180
(410) 535-8325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15757
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406409702
—
MD
Enumeration date
10/01/2008
Last updated
07/23/2009
Update your record
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