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NPI Code Detail

MEDICARE: ASBURY ATLANTIC, INC

MEDICARE: ASBURY ATLANTIC, INC
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1811429384
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASBURY ATLANTIC, INC
Provider Business Mailing Address
First Line : 11100 ASBURY CIR
Second Line :
City : SOLOMONS
State : MD
Zip : 20688-3004
Country : US
Telephone Number : 410-394-3000
Fax Number : 410-394-3008
Provider Business Practice Location Address
First Line : 11100 ASBURY CIR
Second Line :
City : SOLOMONS
State : MD
Zip : 20688-3004
Country : US
Telephone Number : 410-394-3000
Fax Number : 410-394-3008
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. BRAD ANDRUS
Credential : M.A., M.A.G.S
Telephone Number : 410-394-3030
Provider Enumeration Date : 04/03/2017
Last Update Date : 04/05/2017

Similar Medicare Providers

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1578968905 — CHARLEE UMSTEAD SLP
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1861883472 — NICASTOR ANOTADO JR PT
Practice Location Address:
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1497292858 — ASBURY ATLANTIC, INC
Practice Location Address:
11100 ASBURY CIR
SOLOMONS, MD
20688-3004
Practice Phone: 410-394-3000
Practice Fax: 410-394-3008

Directions to “ASBURY ATLANTIC, INC ” Practice Location

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