Organization
HARRIS AND DEFLORA REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE G HARRIS PT (PHYSICAL THERAPIST)
(410) 391-4300
Entity
Organization
Contact information
Practice address
8202 PULASKI HWY, BALTIMORE, MD 21237-2825
(410) 391-4300
(410) 391-4453
Mailing address
8202 PULASKI HWY, BALTIMORE, MD 21237-2825
(410) 391-4300
(410) 391-4453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10800
MD
225100000X
Physical Therapist
Primary
11350
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228588600
—
MD
01
—
K076
BCBS
WA
01
—
K098
BCBS
MD
Enumeration date
10/12/2005
Last updated
09/09/2010
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