| University Of Maryland Medical Regional Professional Services, Llc | |
|
1310 Innovation St Ste P&q, Middle River, MD 21220-2179 | |
| (410) 616-1401 | |
| (410) 686-6915 |
| Full Name | University Of Maryland Medical Regional Professional Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1310 Innovation St Ste P&q, Middle River, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689343519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Medical Regional Professional Services, Llc 7601 Osler Dr, Towson, MD 21204-7700 Ph: () - | University Of Maryland Medical Regional Professional Services, Llc 1310 Innovation St Ste P&q, Middle River, MD 21220-2179 Ph: (410) 616-1401 |
Sonali Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1364 Martin Blvd Ste 5, Middle River, MD 21220 Phone: 410-686-3600 | |
Maggie Matassa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Williams Ct Ste 116, Middle River, MD 21220 Phone: 443-963-3234 | |
Shawna Rae Sprout, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1364 Martin Blvd Ste 5, Middle River, MD 21220 Phone: 410-686-3600 | |
Miss Taila Dane De Souza, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4062 Rustico Rd, Middle River, MD 21220 Phone: 410-335-7898 |