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CHARM CITY THERAPY NPI 1609204999


NPI Information

NPI: 1609204999
Provider Name: CHARM CITY THERAPY

Doing Business As: CHARM CITY THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5 GWYNNS MILL CT STE E
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 849-9496
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CHARM CITY THERAPY is a multi-specialty clinic center in Owings Mills, MD. CHARM CITY THERAPY NPI is 1609204999. The provider is registered as an organization entity type.
The provider Is Doing Business As Charm City Therapy.

The provider's business location address is:

5 GWYNNS MILL CT STE E
OWINGS MILLS, MD
ZIP 21117-529
Phone: (410) 849-9496

The provider's authorized official is Elana Wise .
The authorized official title is Occupation Therapist and has the following contact phone number (404) 692-5707.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 1/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes
2390200000XStudent in an Organized Health Care Education/Training Program05807MARYLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1050895100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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