Provider Demographics
NPI:1871256750
Name:LEMOINE & ASSOCIATES PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:LEMOINE & ASSOCIATES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:LEMOINE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-918-0080
Mailing Address - Street 1:6615 REISTERSTOWN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-2689
Mailing Address - Country:US
Mailing Address - Phone:443-627-8921
Mailing Address - Fax:410-918-0050
Practice Address - Street 1:6615 REISTERSTOWN RD STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-2689
Practice Address - Country:US
Practice Address - Phone:443-627-8921
Practice Address - Fax:410-918-0050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEMOINE & ASSOCIATES PHYSICAL THERAPY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-18
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty