Organization
COUNTY THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MATEJKA (OWNER/THERAPIST)
(410) 452-8815
Entity
Organization
Contact information
Practice address
2082 WHITEFORD RD, WHITEFORD, MD 21160-1404
(410) 452-8815
(410) 452-8815
Mailing address
PO BOX 169, WHITEFORD, MD 21160-0169
(410) 452-8815
(410) 452-8815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
02270
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014269700
—
MD
Enumeration date
08/09/2007
Last updated
04/22/2009
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