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NPI Code Detail

MEDICARE: PROFESSIONAL THERAPY SOLUTIONS LLC

MEDICARE: PROFESSIONAL THERAPY SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149-6707OTHERVAMEDICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1033161187
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL THERAPY SOLUTIONS LLC
Provider Business Mailing Address
First Line : 10420 LITTLE PATUXENT PKWY
Second Line : SUITE 210
City : COLUMBIA
State : MD
Zip : 21044-3533
Country : US
Telephone Number : 410-423-2980
Fax Number : 443-276-0382
Provider Business Practice Location Address
First Line : 512 HOUSTON ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-3525
Country : US
Telephone Number : 540-886-2335
Fax Number : 540-886-0781
Authorized Official
Title or Position : MANAGER
Name : MR. VICTOR E. TILLES
Credential :
Telephone Number : 410-423-2980
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/25/2007

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Directions to “PROFESSIONAL THERAPY SOLUTIONS LLC ” Practice Location

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