Provider Demographics
NPI:1114723525
Name:VIRTUOUS WELLNESS CENTER
Entity type:Organization
Organization Name:VIRTUOUS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-975-5343
Mailing Address - Street 1:273 PENINSULA FARM RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1012
Mailing Address - Country:US
Mailing Address - Phone:410-975-5343
Mailing Address - Fax:410-630-7942
Practice Address - Street 1:273 PENINSULA FARM RD
Practice Address - Street 2:SUITE B
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1012
Practice Address - Country:US
Practice Address - Phone:410-975-5343
Practice Address - Fax:410-630-7942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRTUOUS WELLNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty