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NPI Code Detail

MEDICARE: AH CONCIERGE PHYSICAL THERAPY LLC

MEDICARE: AH CONCIERGE 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
12251X0800XOrthopedic Physical Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1528665262
Entity Type Code : Organization
Provider Name (Legal Business Name) : AH CONCIERGE PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 8076 WINDWARD KEY DR
Second Line :
City : CHESAPEAKE BEACH
State : MD
Zip : 20732-3185
Country : US
Telephone Number : 410-934-4028
Fax Number : 410-609-9968
Provider Business Practice Location Address
First Line : 8076 WINDWARD KEY DR
Second Line :
City : CHESAPEAKE BEACH
State : MD
Zip : 20732-3185
Country : US
Telephone Number : 410-934-4028
Fax Number : 410-609-9968
Authorized Official
Title or Position : MANAGER
Name : TANYA LYNN KELLY
Credential :
Telephone Number : 410-934-4028
Provider Enumeration Date : 10/06/2020
Last Update Date : 12/23/2022

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Directions to “AH CONCIERGE PHYSICAL THERAPY LLC ” Practice Location

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