Peninsula Rehab & Sports Medicine, Inc.

NPI #1376928556 in Ocean City, Maryland

Provider Information

NPI Number
1376928556
Entity Type
Organization
Organization Name
Peninsula Rehab & Sports Medicine, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PENINSULA REHAB & SPORTS MEDICINE
Primary Specialty
Physical Therapist
Enumeration Date
Jul 29, 2015
Last Updated
Jul 29, 2015

Practice Location

Address
12913 COASTAL HWY
ZIP Code
21842-4718
Phone
(410) 213-7878

Authorized Official

Name
MR. RONALD MARC WIST, P.T.
Title
OWNER/PRESIDENT
Phone
(410) 213-7878

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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