Injury Treatment Center of Maryland,llc
NPI #1992824486 in Randallstown, Maryland
Provider Information
- NPI Number
- 1992824486
- Entity Type
- Organization
- Organization Name
- Injury Treatment Center of Maryland,llc
- Primary Specialty
- General Practice
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 8660 LIBERTY RD
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-4707
- Phone
- (410) 922-2300
Authorized Official
- Name
- EVAN J WAGENHEIM
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (410) 922-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| General Practice |
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