16 Fusting Avenue Operations LLC
NPI #1215381694 in Catonsville, Maryland
Provider Information
- NPI Number
- 1215381694
- Entity Type
- Organization
- Organization Name
- 16 Fusting Avenue Operations LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2016
- Last Updated
- Aug 31, 2017
Practice Location
- Address
- 16 FUSTING AVE
- City
- Catonsville
- State
- Maryland
- ZIP Code
- 21228-4413
- Phone
- (410) 747-1800
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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