Organization
WYE OAK HEALTHCARE OF ANNAPOLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LITWA (CFO)
(484) 731-2500
Entity
Organization
Contact information
Practice address
900 VAN BUREN ST, ANNAPOLIS, MD 21403-2124
(484) 731-2500
(484) 731-1234
Mailing address
150 ONIX DR, KENNETT SQUARE, PA 19348-1886
(484) 731-2500
(484) 731-1234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
03/08/2018
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