Glen Burnie Physical Therapy & Sportscare, LLC
NPI #1396109708 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1396109708
- Entity Type
- Organization
- Organization Name
- Glen Burnie Physical Therapy & Sportscare, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 7711 QUARTERFIELD RD STE C2
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-4591
- Phone
- (410) 766-4047
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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