| Mdwellnessandrehab | |
|
7542 Rain Flower Way Columbia MD 21046-2438 | |
| (602) 332-2490 | |
| Not Available |
| Full Name | Mdwellnessandrehab |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 7542 Rain Flower Way, Columbia, Maryland |
| Authorized Official Name and Position | Roel Manuel Evangelista (MANAGING MEMBER) |
| Authorized Official Contact | 6023322490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdwellnessandrehab 7542 Rain Flower Way Columbia MD 21046-2438 Ph: (602) 332-2490 | Mdwellnessandrehab 7542 Rain Flower Way Columbia MD 21046-2438 Ph: (602) 332-2490 |
| NPI Number | 1346637550 |
|---|---|
| Provider Enumeration Date | 04/26/2015 |
| Last Update Date | 04/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346637550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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