Organization
CHARTER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZAN ANNE WINEBRENNER PT (MEMBER/PHYSICAL THERAPIST)
(410) 526-5307
Entity
Organization
Contact information
Practice address
511 MAIN ST, REISTERSTOWN, MD 21136-1907
(410) 526-5307
(410) 526-8313
Mailing address
511 MAIN ST, REISTERSTOWN, MD 21136-1907
(410) 526-5307
(410) 526-8313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14153
MD
Other
Enumeration date
05/24/2006
Last updated
11/02/2011
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