Healthcare Provider Details
I. General information
NPI: 1356164990
Provider Name (Legal Business Name): RATH CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2024
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
717 GOLDSBOROUGH ST
EASTON MD
21601-4914
US
IV. Provider business mailing address
113 QUAIL RUN DR
CENTREVILLE MD
21617-2300
US
V. Phone/Fax
- Phone: 443-995-1618
- Fax:
- Phone: 443-995-1618
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
RATH
Title or Position: PRESIDENT
Credential: MPT 20162
Phone: 443-995-1618