NPI 1043664493

35 Milkshake Lane Operations LLC

Organisation Physical Therapist Annapolis, MD

Practice location

Address: 35 Milkshake Ln, Annapolis, MD 21403-1507
Phone: (410) 269-5100

Authorised official

Name: Michael T. Berg
Title: Assistant Secretary
Phone: (505) 468-4752

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 02026 (MD)

Other Physical Therapist providers in Maryland →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 02026 (MD)

Other Occupational Therapist providers in Maryland →

Registry record

NPI: 1043664493
Entity type: Organization
NPI issued: 21 Apr 2016
Record last updated: 7 Sep 2017

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.