NPI 1366808776
Maryland Sportscare & Rehab, LLC
Practice location
- Address
- 1 Texas Station CT STE 315, Timonium, MD 21093
- Phone
- (410) 628-2180
- Fax
- (410) 628-2157
- Mailing address
- 350 New Fidelity CT, Garner, NC 27529-2665
Authorised official
- Name
- Tasheda Broughton
- Title
- Manager, Credentialing
- Phone
- (252) 248-3313
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1366808776
- Entity type
- Organization
- NPI issued
- 14 Jan 2016
- Record last updated
- 23 Oct 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.