Provider Demographics
NPI:1073279147
Name:ONWARD FREDERICK LLC
Entity Type:Organization
Organization Name:ONWARD FREDERICK LLC
Other - Org Name:ONWARD FREDERICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZACHERY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:978-866-8032
Mailing Address - Street 1:1828 ROSEMONT AVE STE C
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-8250
Mailing Address - Country:US
Mailing Address - Phone:301-202-4362
Mailing Address - Fax:
Practice Address - Street 1:1828 ROSEMONT AVE STE C
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-8250
Practice Address - Country:US
Practice Address - Phone:301-202-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy