Active Life Pt

LBN: Gbmc-Wp-Pt
Active Life Pt is an health care organization with primary practice located at 1447 York Rd Suite 401, Lutherville MD 21093-6017. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Gbmc-Wp-Pt can be contacted via phone (410) 529-3303, or through Wah, Michael D via phone (410) 227-1417.

Contact Information

Primary practice address
1447 York Rd Suite 401 Lutherville MD 21093-6017
Phone: (410) 529-3303
Fax: (410) 529-7980
Website:
Map and Directions
Authorized official contact:
Name: Wah, Michael D PT,DPT,OCS
Phone: (410) 227-1417

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1043663206
LBN Legal business name Gbmc-Wp-Pt
DBA Doing business as Active Life Pt
Authorized official Wah, Michael D PT,DPT,OCS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2016
Last updated Jul 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043663206 NPPES
Maryland Other PENDING MEDICARE

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