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NPI Code Detail

MEDICARE: HOWARD COUNTY PHYSICAL THERAPY SPORTS REHABILITATION

MEDICARE: HOWARD COUNTY PHYSICAL THERAPY SPORTS REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianMD

General Provider Information

NPI Number : 1265428148
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD COUNTY PHYSICAL THERAPY SPORTS REHABILITATION
Provider Business Mailing Address
First Line : 6011 UNIVERSITY BLVD
Second Line : SUITE 120
City : ELLICOTT CITY
State : MD
Zip : 21043-6074
Country : US
Telephone Number : 410-203-0391
Fax Number : 410-203-2707
Provider Business Practice Location Address
First Line : 6011 UNIVERSITY BLVD
Second Line : SUITE 120
City : ELLICOTT CITY
State : MD
Zip : 21043-6074
Country : US
Telephone Number : 410-203-0391
Fax Number : 410-203-2707
Authorized Official
Title or Position : PRESIDENT / CEO
Name : LYNDA G MULES
Credential :
Telephone Number : 410-203-0391
Provider Enumeration Date : 09/26/2005
Last Update Date : 07/01/2013

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Directions to “HOWARD COUNTY PHYSICAL THERAPY SPORTS REHABILITATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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