MEDICARE: C.J.B. THERAPY CENTER

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
1	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1285817163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C.J.B. THERAPY CENTER

Provider Business Mailing Address
First Line	:	3301 BENSON AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-1001
Country	:	US
Telephone Number	:	410-525-2522
Fax Number	:	410-525-0220

Provider Business Practice Location Address
First Line	:	1900 N HOWARD ST # 103
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5909
Country	:	US
Telephone Number	:	410-525-2522
Fax Number	:	410-525-0220

Authorized Official
Title or Position	:	OWNER
Name	:	SPENCER ARRINGTON
Credential	:
Telephone Number	:	410-525-2522

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	09/27/2019

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