NPI 1023040128

Proactive Therapy, LLC

Organisation Physical Therapist Baltimore, MD

Practice location

Address: 1016 Booth St, Baltimore, MD 21223-2527
Phone: (202) 409-9895
Fax: (202) 470-0423

Authorised official

Name: Terrell D. Trent
Title: Owner
Phone: (202) 409-9895

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 17825 (MD)

Other Physical Therapist providers in Maryland →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 04737 (MD)

Other Occupational Therapist providers in Maryland →

Registry record

NPI: 1023040128
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 11 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.