| |
2401 Brandermill Blvd Ste 130a, Gambrills, MD 21054-1691 | |
(410) 451-5180 | |
(410) 451-8151 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 2401 Brandermill Blvd Ste 130a, Gambrills, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982453999 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, DC 20010-2921 Ph: (301) 540-6140 | 2401 Brandermill Blvd Ste 130a, Gambrills, MD 21054-1691 Ph: (410) 451-5180 |