Organization · NPI-2

8710 Emge Road Operations LLC

Physical Therapist · Baltimore, MD

NPI number1780038166
StatusActive
Last updated in NPPESAug 31, 2017

Details

NPI
1780038166
Entity type
Organization (NPI-2)
Legal business name
8710 Emge Road Operations LLC
Organization subpart
No
Enumeration date
Apr 21, 2016
Last updated
Aug 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist03056MDYes
225X00000X Occupational Therapist03056MD

Other names

  • Cromwell Center (Doing Business As)

Practice location

8710 Emge Rd
Baltimore, MD 21234-3504

Phone 410-661-5955

Mailing address

8710 Emge Rd
Baltimore, MD 21234-3504

Phone 410-661-5955

Authorized official

Michael T. Berg
Assistant Secretary
5054684752

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Baltimore, MD