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Organization

BALTIMORE ORTHOPEDIC MASSAGE

Active
Other names
BOM
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER MACMILLAN LMT (OWNER)
(443) 902-5304
Entity
Organization

Contact information

Practice address
260 GATEWAY DR, STE 5A, BEL AIR, MD 21014-4268
(443) 902-5304
Mailing address
260 GATEWAY DR, STE 5A, BEL AIR, MD 21014-4268
(443) 902-5304

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05398
MD

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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