NPI 1043312036

Maryland Healthcare Clinics

Organisation Chiropractor Baltimore, MD

Practice location

Address: 6615 Reisterstown Rd First Floor, Baltimore, MD 21215-2686
Phone: (410) 486-2298
Fax: (410) 358-6551
Mailing address: PO Box 30160, Baltimore, MD 21270-0160

Authorised official

Name: Roman Balakirsky
Title: Vice President of Operations
Phone: (410) 486-2298

Registered specialties (4)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Physical Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2000X

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Registry record

NPI: 1043312036
Entity type: Organization
NPI issued: 1 Sep 2006
Record last updated: 14 Jul 2008

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.