Maryland Sportscare & Rehab, LLC

NPI #1922464338 in Hampstead, Maryland

Provider Information

NPI Number: 1922464338
Entity Type: Organization
Organization Name: Maryland Sportscare & Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 14, 2016
Last Updated: Nov 1, 2024

Practice Location

Address: 2319 HANOVER PIKE STE G
City: Hampstead
State: Maryland
ZIP Code: 21074-1137
Phone: (410) 374-0925

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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