Source Physiotherapy LLC
NPI #1316510282 in Cockeysville, Maryland
Provider Information
- NPI Number
- 1316510282
- Entity Type
- Organization
- Organization Name
- Source Physiotherapy LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 20, 2021
- Last Updated
- Jul 14, 2024
Practice Location
- Address
- 10155 YORK RD STE 205-206
- City
- Cockeysville
- State
- Maryland
- ZIP Code
- 21030-3352
- Phone
- (443) 355-8891
Authorized Official
- Name
- EMMANNOUIL LAGOGIANNIS, PT, MSC
- Title
- PHYSIOTHERAPIST
- Phone
- (443) 355-8891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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