Organization Name: | PHYSIOTHERAPY ASSOCIATES - UNION REHAB LLC |
NPI Number: | 1417055153 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 18 Montgomery Dr Suite 10 North East |
State: | MD US |
Postal Code: | 219013817 |
Phone Number: | 4102875057 |
Fax Number: | 4102875604 |
NPI Enumeration Date: | 09/20/2006 |
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: |