| Organization Name: | PHYSIOTHERAPY ASSOCIATES - UNION REHAB LLC |
| NPI Number: | 1104926971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 223 E. Main St Suite B Rising Sun |
| State: | MD US |
| Postal Code: | 219111657 |
| Phone Number: | 4106585500 |
| Fax Number: | 4106583910 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |