| |
9501 Old Annapolis Rd Ste 125, Ellicott City, MD 21042-6355 | |
(410) 997-1063 | |
(410) 997-1408 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 9501 Old Annapolis Rd Ste 125, Ellicott City, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306223227 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, DC 20010-2949 Ph: (301) 540-6140 | 9501 Old Annapolis Rd Ste 125, Ellicott City, MD 21042-6355 Ph: (410) 997-1063 |