| Organization Name: | ATLANTIC REHAB, INC |
| NPI Number: | 1003855461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD M. KELCH (DIRECTOR) |
| Mailing Address: | 5 Crain Hwy N Suite 103 Glen Burnie |
| State: | MD US |
| Postal Code: | 210612803 |
| Phone Number: | 4107689500 |
| Fax Number: | 4107685200 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | A1924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |