Healthcare Provider Details

I. General information

NPI: 1639117377
Provider Name (Legal Business Name): HARFORD COUNTY WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3465 BOX HILL CORPORATE CENTER DR SUITE G
ABINGDON MD
21009-1261
US

IV. Provider business mailing address

PO BOX 652
ABINGDON MD
21009-0652
US

V. Phone/Fax

Practice location:
  • Phone: 410-569-4806
  • Fax: 410-569-5474
Mailing address:
  • Phone: 410-569-4806
  • Fax: 410-569-5474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number19053
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number02779
License Number StateMD

VIII. Authorized Official

Name: MRS. MELISSA TUTAS
Title or Position: OWNER, PRESIDENT
Credential: MS,PT
Phone: 410-569-4806