MEDICARE: AKS 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1639701105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	331 OAK MANOR DR STE 101
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 OAK MANOR DR STE 101
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5553
Country	:	US
Telephone Number	:	410-766-4878
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALAN SOKOLOFF
Credential	:
Telephone Number	:	410-766-4878

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	02/12/2020

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Directions to “AKS PHYSICAL THERAPY LLC ” Practice Location

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