Organization Name: | MARYLAND REHAB, LLC |
NPI Number: | 1598163610 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMED S MANSOUR (OWNER) |
Mailing Address: | 13500 Gambrel Ct Laurel |
State: | MD US |
Postal Code: | 207081389 |
Phone Number: | 3016172773 |
Fax Number: | 2403344824 |
NPI Enumeration Date: | 12/06/2014 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23820 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |