360 Therapy Group LLC
Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD. Organization (NPI-2).
NPI number1982243978
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1982243978
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Therapy Group LLC
- Organization subpart
- No
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | – | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – |
Practice location
2446 N Charles StBaltimore, MD 21218-5113
Phone 410-413-6786 · Fax 410-413-6792
Mailing address
2446 N Charles StBaltimore, MD 21218-5113
Phone 410-413-6786 · Fax 410-413-6792
Authorized official
Chimere Becote
Owner
4108059464
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