515 Brightfield Road Operations LLC
NPI #1760836142 in Lutherville, Maryland
Provider Information
- NPI Number
- 1760836142
- Entity Type
- Organization
- Organization Name
- 515 Brightfield Road Operations LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2016
- Last Updated
- Sep 7, 2017
Practice Location
- Address
- 515 BRIGHTFIELD RD
- City
- Lutherville
- State
- Maryland
- ZIP Code
- 21093-3643
- Phone
- (410) 296-1990
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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| Mary Austin, DPT |
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