Provider Demographics
NPI:1346530169
Name:AFFINITY REHABILITATION LLP
Entity Type:Organization
Organization Name:AFFINITY REHABILITATION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-667-7200
Mailing Address - Street 1:10600 YORK RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2351
Mailing Address - Country:US
Mailing Address - Phone:410-667-7200
Mailing Address - Fax:410-667-7207
Practice Address - Street 1:18 ARBOR LANE
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:NY
Practice Address - Zip Code:13214
Practice Address - Country:US
Practice Address - Phone:410-667-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy