Proactive Therapy, LLC

NPI #1023040128 in Baltimore, Maryland

Provider Information

NPI Number: 1023040128
Entity Type: Organization
Organization Name: Proactive Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2006
Last Updated: May 11, 2022

Practice Location

Address: 1016 BOOTH ST
City: Baltimore
State: Maryland
ZIP Code: 21223-2527
Phone: (202) 409-9895

Authorized Official

Name: TERRELL D. TRENT, OT
Title: OWNER
Phone: (202) 409-9895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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