| |
1400 Front Ave Ste 205, Lutherville, MD 21093-5365 | |
(410) 823-4263 | |
(410) 823-1861 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 1400 Front Ave Ste 205, Lutherville, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1003293978 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn Mhpt Payor Enrollment, Washington, DC 20010-2921 Ph: (301) 540-6140 | 1400 Front Ave Ste 205, Lutherville, MD 21093-5365 Ph: (410) 823-4263 |