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General NPI Number Information
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NPI Number | 1992859516
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Entity Type | Organization
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Legal Business Name | CATONSVILLE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 700 GEIPE RD SUITE 240
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City | CATONSVILLE
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State | MD
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Zip | 21228
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Country | US
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Telephone | 410-747-8571
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Fax | 410-747-9050
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Provider Business Mailing Address
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Address Line | 700 GEIPE RD SUITE 240
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City | CATONSVILLE
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State | MD
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Zip | 21228
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Country | US
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Telephone | 410-747-8571
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Fax | 410-747-9050
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPIST
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Name | ERMANNO R COSTABILE
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Credential | P.T.
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Telephone | 410-747-8571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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