Middletown Sport and Spine LLC

NPI #1760491666 in Middletown, Maryland

Provider Information

NPI Number
1760491666
Entity Type
Organization
Organization Name
Middletown Sport and Spine LLC
Primary Specialty
Physical Therapist - Orthopedic
Enumeration Date
Aug 7, 2006
Last Updated
May 5, 2009

Practice Location

Address
205 S. CHURCH STREET
Address 2
SUITE B
ZIP Code
21769
Phone
(301) 662-8541

Authorized Official

Name
CONNIE GOODING
Title
CREDENTIALING REPRESENTATIVE
Phone
(301) 662-8541

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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