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NPI Code Detail

MEDICARE: LHMG PHYSICAL THERAPY, LLC

MEDICARE: LHMG PHYSICAL THERAPY, 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
1207X00000XOrthopaedic Surgery Physician
2225100000XPhysical Therapist
3133V00000XRegistered Dietitian
4225X00000XOccupational Therapist
5235Z00000XSpeech-Language Pathologist
6261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1457985889
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHMG PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 2001 MEDICAL PKWY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3773
Country : US
Telephone Number : 443-481-1000
Fax Number :
Provider Business Practice Location Address
First Line : 8116 GOOD LUCK RD STE 205
Second Line :
City : LANHAM
State : MD
Zip : 20706-3508
Country : US
Telephone Number : 301-552-4284
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : PETER ODENWALD
Credential :
Telephone Number : 443-481-6415
Provider Enumeration Date : 02/25/2020
Last Update Date : 08/08/2022

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Directions to “LHMG PHYSICAL THERAPY, LLC ” Practice Location

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