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NPI Code Detail

MEDICARE: CUTTING EDGE PHYSICAL THERAPY

MEDICARE: CUTTING EDGE PHYSICAL THERAPY
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1801597588
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUTTING EDGE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 3746 GREENWAY LN
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-1418
Country : US
Telephone Number : 443-956-8608
Fax Number :
Provider Business Practice Location Address
First Line : 9505 BERGER RD STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-2583
Country : US
Telephone Number : 443-956-8608
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JARED GOLDSTEIN
Credential :
Telephone Number : 443-956-8608
Provider Enumeration Date : 03/10/2023
Last Update Date : 03/10/2023

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Directions to “CUTTING EDGE PHYSICAL THERAPY ” Practice Location

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