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Contact Information

HERITAGE HARBOUR PHYSICAL THERAPY LLC
1783 FOREST DR # 307
ANNAPOLIS, MD21401-4229
 Phone: 571-208-3099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HERITAGE HARBOUR PHYSICAL THERAPY LLC

NPI # 1235643305
LBN Legal business name HERITAGE HARBOUR PHYSICAL THERAPY LLC
Authorized official JEFFREY MITCHELL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2017
Last updated 04/10/2020 - About 6 years ago
Identifiers
MD License # 17650
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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