Organization
BACK ON TRACK REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA GANDHI (OFFICE MANAGER)
(443) 991-5907
Entity
Organization
Contact information
Practice address
7801 YORK RD, SUITE 224, TOWSON, MD 21204-7446
(443) 991-5907
(443) 548-0904
Mailing address
7801 YORK RD, SUITE 224, TOWSON, MD 21204-7446
(443) 991-5907
(443) 548-0904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/21/2013
Last updated
02/01/2016
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