Maryland Sportscare & Rehab LLC
NPI #1891389805 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1891389805
- Entity Type
- Organization
- Organization Name
- Maryland Sportscare & Rehab LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 22, 2021
- Last Updated
- Nov 1, 2024
Practice Location
- Address
- 17301 VALLEY MALL RD
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21740-6966
- Phone
- (919) 258-2714
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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