| |
659 S Salisbury Blvd Ste 1b, Salisbury, MD 21801-5431 | |
(410) 677-0700 | |
(410) 677-0883 |
Full Name | |
---|---|
Type | Facility |
Speciality | Rehabilitation Practitioner |
Location | 659 S Salisbury Blvd Ste 1b, Salisbury, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780617225 | NPI | - | NPPES |
067112601 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
659 S Salisbury Blvd Ste 1b, Salisbury, MD 21801-5431 Ph: (410) 677-0700 | 659 S Salisbury Blvd Ste 1b, Salisbury, MD 21801-5431 Ph: (410) 677-0700 |