Maryland Sportscare & Rehab, LLC

NPI #1457717878 in Ijamsville, Maryland

Provider Information

NPI Number: 1457717878
Entity Type: Organization
Organization Name: Maryland Sportscare & Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 14, 2016
Last Updated: Oct 23, 2024

Practice Location

Address: 3280 URBANA PIKE
Address 2: STE 202
City: Ijamsville
State: Maryland
ZIP Code: 21754-9406
Phone: (301) 874-2226

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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