Organization Name: | DURMANO REHABILITATION & MANAGEMENT, LLC |
NPI Number: | 1013190073 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEANNA T. ONGWELA (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 407 Main St Laurel |
State: | MD US |
Postal Code: | 207074104 |
Phone Number: | 4108801254 |
Fax Number: | 4108801254 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 18313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |