Provider Demographics
NPI:1124817408
Name:LYMPH FIT CENTER LLC
Entity type:Organization
Organization Name:LYMPH FIT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:SANTOSH
Authorized Official - Last Name:NATH
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:443-741-1158
Mailing Address - Street 1:8820 COLUMBIA 100 PKWY STE 215
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2143
Mailing Address - Country:US
Mailing Address - Phone:443-741-1158
Mailing Address - Fax:
Practice Address - Street 1:8820 COLUMBIA 100 PKWY STE 215
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2143
Practice Address - Country:US
Practice Address - Phone:443-741-1158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-03
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty