Revive Physical Therapy LLC
Revive Physical Therapy LLC is a Physical Therapy Clinic/Center in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2011.
- Licensed in
- MD
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10300 Baltimore National Pike Unit #BEllicott City, MD 21042-2128
Phone: (443) 364-4495
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 22176 (MD) |
|---|
Record details
| NPI number | 1215204110 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renuka Jain — Owner/Physical Therapist · (443) 364-4495 |
| NPI enumerated | November 20, 2011 |
| Last updated in NPPES | November 20, 2011 |
| Mailing address | 10300 Baltimore National Pike, Unit #B, Ellicott City, MD 21042-2128 |
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