NPI 1215381694

16 Fusting Avenue Operations LLC

Organisation Physical Therapist Catonsville, MD

Practice location

Address: 16 Fusting Ave, Catonsville, MD 21228-4413
Phone: (410) 747-1800

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 03018 (MD)

Other Physical Therapist providers in Maryland →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 03018 (MD)

Other Occupational Therapist providers in Maryland →

Registry record

NPI: 1215381694
Entity type: Organization
NPI issued: 21 Apr 2016
Record last updated: 31 Aug 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.