MITCHELL STANLEY

BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP

Dr MITCHELL STANLEY is a male medical professional, specializing in Physical Therapy. He graduated in 2009.

Contact

BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP

3179 BRAVERTON ST
SUITE 201
EDGEWATER
MD
210372667

Tel: 4109564308

MITCHELL STANLEY Information

Npi 1114156056
Pac Id 1254486533
Professional Enrollment Id I20090910000369
Last Name STANLEY
First Name MITCHELL
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name BAYSIDE PHYSICAL THERAPY AND SPORTS REHABILITATION LIMITED PARTNERSHIP
Group Practice Pac Id 5193902948
Number Of Group Practice Members 21
Line 1 Street Address 3179 BRAVERTON ST
Line 2 Street Address SUITE 201
Marker Of Address Line 2 Suppression
City EDGEWATER
State MD
Zip Code 210372667
Phone Number 4109564308
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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