899 Cecil Avenue Operations LLC

NPI #1962856344 in Gambrills, Maryland

Provider Information

NPI Number
1962856344
Entity Type
Organization
Organization Name
899 Cecil Avenue Operations LLC
Primary Specialty
Physical Therapist
Enumeration Date
Apr 21, 2016
Last Updated
Sep 7, 2017

Practice Location

Address
1221 WAUGH CHAPEL RD
ZIP Code
21054-1608
Phone
(410) 923-2020

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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