Provider Demographics
NPI:1063430064
Name:PALENCHAR, MICHAEL THOMAS (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:THOMAS
Last Name:PALENCHAR
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Gender:M
Credentials:PT
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Mailing Address - Street 1:547 B RIVERSIDE DRIVE
Mailing Address - Street 2:PALENCHAR PHYSICAL THERAPY & PERFORMANCE CENTER
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-572-5702
Mailing Address - Fax:410-572-5703
Practice Address - Street 1:547 B RIVERSIDE DRIVE
Practice Address - Street 2:PALENCHAR PHYSICAL THERAPY & PERFORMANCE CENTER
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-572-5702
Practice Address - Fax:410-572-5703
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2013-03-12
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Provider Licenses
StateLicense IDTaxonomies
MD21836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist