NPI 1164979902
Maryland Sportscare & Rehab, LLC
Practice location
- Address
- 757 Frederick Rd Suite 103, Catonsville, MD 21228-4500
- Phone
- (410) 719-8661
- Mailing address
- 2122 York Rd STE 300, Oak Brook, IL 60523-1925
Authorised official
- Name
- Tasheda Broughton
- Title
- Manager, Credentialing
- Phone
- (252) 248-3313
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1164979902
- Entity type
- Organization
- NPI issued
- 9 Sep 2016
- Record last updated
- 1 Nov 2024
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.