Organization
INDIGO PHYSIOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA DUFLO PT, DPT, PRPC (OWNER/FOUNDER, PHYSICAL THERAPIST)
(410) 601-3991
Entity
Organization
Contact information
Practice address
600 WYNDHURST AVENUE, SUITE 102, BALTIMORE, MD 21210
(410) 601-3991
(443) 885-9984
Mailing address
600 WYNDHURST AVENUE, SUITE 102, BALTIMORE, MD 21210
(410) 601-3991
(443) 885-9984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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