| Injury Treatment Center Of Maryland,llc | |
|
8660 Liberty Rd Randallstown MD 21133-4707 | |
| (410) 922-2300 | |
| Not Available |
| Full Name | Injury Treatment Center Of Maryland,llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 8660 Liberty Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Evan J Wagenheim (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4109222300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Injury Treatment Center Of Maryland,llc 8660 Liberty Rd Randallstown MD 21133-4707 Ph: (410) 922-2300 | Injury Treatment Center Of Maryland,llc 8660 Liberty Rd Randallstown MD 21133-4707 Ph: (410) 922-2300 |
| NPI Number | 1992824486 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992824486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Maryland) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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