Organization
GLACKIN PHYSIOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN THOMAS GLACKIN DPT (PHYSICAL THERAPIST)
(908) 328-3074
Entity
Organization
Contact information
Practice address
9159 RED BRANCH RD STE B, COLUMBIA, MD 21045-2041
(301) 887-5689
Mailing address
247 S ROBINSON ST, BALTIMORE, MD 21224-2215
(908) 328-3074
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932565298
—
MD
Enumeration date
04/10/2018
Last updated
04/28/2024
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