MEDICARE: ORA L CUMMINGS PT, DPT

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	225100000X	Physical Therapist	20410	MD

General Provider Information

NPI Number	:	1538133103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORA L CUMMINGS PT, DPT

Provider Business Mailing Address
First Line	:	2217 COMMERCE RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2565
Country	:	US
Telephone Number	:	410-638-0700
Fax Number	:	410-638-6790

Provider Business Practice Location Address
First Line	:	2217 COMMERCE RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2565
Country	:	US
Telephone Number	:	410-638-0700
Fax Number	:	410-638-6790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	02/11/2009

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