| Active Spine & Rehab, Llc | |
|
802 Cromwell Park Dr Glen Burnie MD 21061-2563 | |
| (410) 970-8190 | |
| (410) 313-8314 |
| Full Name | Active Spine & Rehab, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 802 Cromwell Park Dr, Glen Burnie, Maryland |
| Authorized Official Name and Position | Patrick Murray (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4109708190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Spine & Rehab, Llc 10753 Birmingham Way Woodstock MD 21163-1535 Ph: (410) 970-8190 | Active Spine & Rehab, Llc 802 Cromwell Park Dr Glen Burnie MD 21061-2563 Ph: (410) 970-8190 |
| NPI Number | 1427609429 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 09/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427609429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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