| Organization Name: | ROCKVILLE NEUROREHAB ASSOCIATES, LLC |
| NPI Number: | 1922499656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL T PITTMANN (OWNER/MANAGING MEMBER) |
| Mailing Address: | 11423 Commonwealth Dr Unit T-1 North Bethesda |
| State: | MD US |
| Postal Code: | 208522856 |
| Phone Number: | 2403802373 |
| Fax Number: | 8889650722 |
| NPI Enumeration Date: | 02/17/2015 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | SLP000591 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Hearing and Speech |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |