MEDICARE: REHABCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	P11692	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265629083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	8335 AUTUMN RIVER DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7529
Country	:	US
Telephone Number	:	443-364-8352
Fax Number	:

Provider Business Practice Location Address
First Line	:	8335 AUTUMN RIVER DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7529
Country	:	US
Telephone Number	:	443-364-8352
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAKSHMI ARUMUGAM
Credential	:	MS, PT, DPT
Telephone Number	:	443-364-8352

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	03/17/2018

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