Sport & Family Physical Therapy, LLC.

Organization Active NPI Physical Therapist · Marriottsville, MD

NPI 1972675858 · NPPES record last updated Jan 3, 2012

Key facts

NPI
1972675858
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
17480 (MD)
Legal business name
SPORT & FAMILY PHYSICAL THERAPY, LLC.
Practice address
2470 Longstone Lane
Suite K
Marriottsville, MD 21104
Phone
(410) 442-2470
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Jeffrey Alan Torockio, P.T.
Title
Physical Therapist
Phone
(410) 552-5632

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 17480 MD Yes

Addresses

Primary practice location

2470 Longstone Lane
Suite K
Marriottsville, MD 21104

Mailing address

1160 Breiten CT
Woodbine, MD 21797-9205
Phone (410) 795-3289

Other providers in Marriottsville, MD

All providers in Marriottsville, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.