Provider Demographics
NPI:1326709437
Name:SOUND BODY PHYSIOTHERAPY, LLC
Entity Type:Organization
Organization Name:SOUND BODY PHYSIOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-602-0849
Mailing Address - Street 1:911 S CHARLES ST APT 407
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4066
Mailing Address - Country:US
Mailing Address - Phone:443-602-0849
Mailing Address - Fax:
Practice Address - Street 1:911 S CHARLES ST APT 407
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4066
Practice Address - Country:US
Practice Address - Phone:443-602-0849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-02
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty