Healthcare Provider Details

I. General information

NPI: 1346530169
Provider Name (Legal Business Name): AFFINITY REHABILITATION LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 12/17/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ARBOR LANE
DEWITT NY
13214
US

IV. Provider business mailing address

10600 YORK RD SUITE 105
COCKEYSVILLE MD
21030-2351
US

V. Phone/Fax

Practice location:
  • Phone: 410-667-7200
  • Fax:
Mailing address:
  • Phone: 410-667-7200
  • Fax: 410-667-7207

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: THOMAS GUILD
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 410-667-7200