NPI 1073893699

Form and Motion Physical Therapy, LLC

Organisation Physical Therapist Annapolis, MD

Practice location

Address: 304 B Harry S. Truman Parkway, Annapolis, MD 21401-7449
Phone: (410) 703-6097

Authorised official

Name: Ingrid Pailthorp
Title: Owner and Physical Therapist
Phone: (410) 703-6097

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 23736 (MD)

Other Physical Therapist providers in Maryland →

Registry record

NPI: 1073893699
Entity type: Organization
NPI issued: 26 Aug 2011
Record last updated: 26 Aug 2011

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.