Organization
CALVERT PHYSICAL THERAPY AND SPORTS FITNESS CTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J SMOOTZ (MANAGER)
(410) 414-4846
Entity
Organization
Contact information
Practice address
130 HOSPITAL RD, SUITE 103, PRINCE FREDERICK, MD 20678
(410) 535-8180
(410) 535-8325
Mailing address
130 HOSPITAL RD, SUITE 103, PRINCE FREDERICK, MD 20678-4022
(410) 535-8180
(410) 535-8325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
15757
MD
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406409700
—
MD
Enumeration date
02/08/2007
Last updated
10/06/2009
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