Maryland Sportscare & Rehab LLC

NPI #1801411467 in Berlin, Maryland

Provider Information

NPI Number: 1801411467
Entity Type: Organization
Organization Name: Maryland Sportscare & Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 10, 2020
Last Updated: Nov 1, 2024

Practice Location

Address: 314 FRANKLIN AVE STE 501
City: Berlin
State: Maryland
ZIP Code: 21811-1264
Phone: (410) 641-0999

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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