Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO GORNER PT (PRESIDENT)
(410) 580-1320
Entity
Organization
Contact information
Practice address
4000 OLD COURT RD, SUITE 100, BALTIMORE, MD 21208-2891
(410) 415-0005
(410) 415-0006
Mailing address
4000 OLD COURT RD, SUITE 100, BALTIMORE, MD 21208-2800
(410) 415-0005
(410) 415-0006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
10/10/2012
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