Provider Demographics
NPI:1922454065
Name:A TIME TO HEAL PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:A TIME TO HEAL PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LETTELLEIR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-330-9425
Mailing Address - Street 1:1805 HUDSON RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3350
Mailing Address - Country:US
Mailing Address - Phone:410-330-9425
Mailing Address - Fax:
Practice Address - Street 1:1805 HUDSON RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-3350
Practice Address - Country:US
Practice Address - Phone:410-330-9425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-08
Last Update Date:2016-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20096261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy