Healthcare Provider Details

I. General information

NPI: 1699422881
Provider Name (Legal Business Name): REHABILITATION AND WELLNESS CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST STE 585
BALTIMORE MD
21218-6514
US

IV. Provider business mailing address

14107 NORTHWYN DR
SILVER SPRING MD
20904-5929
US

V. Phone/Fax

Practice location:
  • Phone: 866-667-2460
  • Fax:
Mailing address:
  • Phone: 866-667-2460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALI D. KANJI
Title or Position: OWNER
Credential:
Phone: 866-667-2460