NPI 1083022974

Professional Sportscare and Rehab

Organisation Exclusive Provider Organization Baltimore, MD

Practice location

Address: 203 Grindall St, Baltimore, MD 21230-4103
Phone: (410) 884-6000

Authorised official

Name: Chad Pattee
Title: Physical Therapy Director
Phone: (410) 884-6000

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence A00308 (MD)

Other Exclusive Provider Organization providers in Maryland →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X Licence 25MT00193100 (NJ)

Registry record

NPI: 1083022974
Entity type: Organization
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 2014

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.