613 Hammonds Lane Operations LLC
NPI #1871947259 in Brooklyn Park, Maryland
Provider Information
- NPI Number
- 1871947259
- Entity Type
- Organization
- Organization Name
- 613 Hammonds Lane Operations LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Apr 21, 2016
- Last Updated
- Aug 31, 2017
Practice Location
- Address
- 613 HAMMONDS LN
- City
- Brooklyn Park
- State
- Maryland
- ZIP Code
- 21225-3351
- Phone
- (410) 636-3400
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
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