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Corey Hall, LLC

Clinic/Center, Physical Therapy in Baltimore, MD. Organization (NPI-2).

NPI number1417570532
StatusActive
Last updated in NPPESDec 30, 2023

Details

NPI
1417570532
Entity type
Organization (NPI-2)
Legal business name
Corey Hall, LLC
Organization subpart
No
Enumeration date
May 22, 2020
Certification date
Dec 30, 2023
Last updated
Dec 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Other names

  • Outlast Health And Performance (Doing Business As)

Practice location

1600 W 41st St Ste 300
Baltimore, MD 21211-1504

Phone 410-357-1529

Mailing address

1636 Aberdeen Rd
Towson, MD 21286-8124

Phone 443-564-6085

Other practice locations

47 Loveton Cir Ste P
Sparks, MD 21152-9216

Phone 410-357-1529

Authorized official

Corey Andrew Hall
Owner
4435646085

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