Organization
HEREFORD PHYSICAL THERAPY & SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE KINSEY (OWNER)
(410) 229-0055
Entity
Organization
Contact information
Practice address
14 MOUNT CARMEL RD, PARKTON, MD 21120-9721
(410) 229-0055
Mailing address
14 MOUNT CARMEL RD, PARKTON, MD 21120-9721
(410) 229-0055
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497983
ALLIANCE, UHC, MAMSI
MD
01
—
KCA4
BC/BS NUMBER
MD
01
—
S426
CAREFIRST BLUC CHOICE
MD
Enumeration date
03/01/2006
Last updated
08/22/2020
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