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Organization

LANE 4 PT AND PERFORMANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER EWART DPT (PHYSICAL THERAPIST)
(443) 938-0278
Entity
Organization

Contact information

Practice address
1007 WHITE SPRUCE LN, ELDERSBURG, MD 21784-7946
(443) 938-0278
Mailing address
1007 WHITE SPRUCE LN, ELDERSBURG, MD 21784-7946

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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