Healthcare Provider Details

I. General information

NPI: 1639351307
Provider Name (Legal Business Name): J & JS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10415 SOUTHERN MARYLAND BLVD
DUNKIRK MD
20754-2734
US

IV. Provider business mailing address

PO BOX 205
DUNKIRK MD
20754-0205
US

V. Phone/Fax

Practice location:
  • Phone: 410-257-2589
  • Fax:
Mailing address:
  • Phone: 410-257-2589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN T SAUL
Title or Position: OWNER
Credential:
Phone: 410-257-2589