56 West Frederick Street Operations LLC
NPI #1407200884 in Walkersville, Maryland
Provider Information
- NPI Number
- 1407200884
- Entity Type
- Organization
- Organization Name
- 56 West Frederick Street Operations LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2016
- Last Updated
- Aug 31, 2017
Practice Location
- Address
- 56 W FREDERICK ST
- City
- Walkersville
- State
- Maryland
- ZIP Code
- 21793-8254
- Phone
- (301) 898-4300
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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