Proactive Therapy

NPI 1023040128 - Occupational Therapist - 225X00000X

NPI Details
NPI 1023040128
Enumeration Date 07/07/2006
Last Updated 10/10/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAY WALTER JAY
Position PHYSICAL THERAPIST
Phone (410) 664-0818
Fax (410) 664-0806
Practice Location
3939 PENHURST AVE
BALTIMORE MD, 21215-5632, US
Phone (410) 664-0818
Fax (410) 664-0806
Business Location
1875 CANDLELIGHT CT
OWINGS MD, 20736-3616, US
Phone (443) 691-1877
Fax (410) 257-2945
Toxanomy
Taxonomy Code 225X00000X
License State Maryland
License Number 04737
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According to our database, Proactive Therapy NPI is 1023040128, taxonomy code is 225X00000X and license number is 04737, license state is located at Maryland. Proactive Therapy physically located at 3939 Penhurst Ave, Baltimore MD, 21215-5632. NPI Number 1033115704 has the healthcare provider type.

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1023040128 NPI number is provided on an as is basis without warranty of any kind. 1023040128 is maintained by the National Plan & Provider Enumeration System. The contents of Proactive Therapy are for informational purposes only.