Healthcare Provider Details

I. General information

NPI: 1285817163
Provider Name (Legal Business Name): C.J.B. THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N HOWARD ST # 103
BALTIMORE MD
21218-5909
US

IV. Provider business mailing address

3301 BENSON AVE
BALTIMORE MD
21227-1001
US

V. Phone/Fax

Practice location:
  • Phone: 410-525-2522
  • Fax: 410-525-0220
Mailing address:
  • Phone: 410-525-2522
  • Fax: 410-525-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: SPENCER ARRINGTON
Title or Position: OWNER
Credential:
Phone: 410-525-2522