Healthcare Provider Details

I. General information

NPI: 1801497599
Provider Name (Legal Business Name): MOBILE CARE IN-HOME THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2020
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6042 TARRY TOWN RD
SALISBURY MD
21801-2506
US

IV. Provider business mailing address

6042 TARRY TOWN RD
SALISBURY MD
21801-2506
US

V. Phone/Fax

Practice location:
  • Phone: 410-834-3418
  • Fax: 443-842-6294
Mailing address:
  • Phone: 410-834-3418
  • Fax: 443-842-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ALCANTARA
Title or Position: PHYSICAL THERAPIST / OWNER
Credential: DPT
Phone: 410-603-2185