| Therafit Gym | |
|
1220a E Joppa Rd Ste 109 Towson MD 21286-5816 | |
| (410) 415-1992 | |
| (410) 774-0488 |
| Full Name | Therafit Gym |
|---|---|
| Speciality | Physical Therapist |
| Location | 1220a E Joppa Rd Ste 109, Towson, Maryland |
| Authorized Official Name and Position | Regina Della (PRESIDENT) |
| Authorized Official Contact | 4103713329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therafit Gym 1220a E Joppa Rd Ste 109 Towson MD 21286-5816 Ph: (410) 415-1992 | Therafit Gym 1220a E Joppa Rd Ste 109 Towson MD 21286-5816 Ph: (410) 415-1992 |
| NPI Number | 1497133953 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497133953 | NPI | - | NPPES |
| 753702601 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Maryland) | Secondary |
| 225100000X | Physical Therapist | (Maryland) | Primary |
| 225X00000X | Occupational Therapist | (Maryland) | Secondary |
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