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Organization

BAYSIDE PHYSICAL THERAPY, L.L.C.

Active
Other names
Professional Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE YOVIENE P.T. (PHYSICAL THERAPIST)
(410) 829-5647
Entity
Organization

Contact information

Practice address
33195 LIGHTHOUSE RD, SUITE 7, SELBYVILLE, DE 19975-4071
(302) 436-0901
Mailing address
33195 LIGHTHOUSE RD, SUITE 7, SELBYVILLE, DE 19975-4071
(302) 436-0901

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000037489
DE
01
180CBA
CAREFIRST
MD
01
K769
BLUECHOICE
DC
Enumeration date
01/24/2007
Last updated
05/15/2014
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