Organization Name: | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. |
NPI Number: | 1053320457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT HASSETT (SENIOR VP / CHIEF MEDICAL OFFICER) |
Mailing Address: | 811 Cromwell Park Drive Suite 104 Glen Burnie |
State: | MD US |
Postal Code: | 21061 |
Phone Number: | 4105530110 |
Fax Number: | 4105530197 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |