| Organization Name: | ORTHOSPORT PHYSICAL THERAPY OF MD |
| NPI Number: | 1225250707 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL) |
| Mailing Address: | 8174 Lark Brown Road Suite 101 Elkridge |
| State: | MD US |
| Postal Code: | 21075 |
| Phone Number: | 4107999988 |
| Fax Number: | 4107999986 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 18943 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |