Healthcare Provider Details

I. General information

NPI: 1003622457
Provider Name (Legal Business Name): RATH CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MEDICAL CENTER RD
GRASONVILLE MD
21638-1386
US

IV. Provider business mailing address

113 QUAIL RUN DR
CENTREVILLE MD
21617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 443-995-1618
  • Fax: 410-981-3416
Mailing address:
  • Phone: 443-995-1618
  • Fax: 410-981-3416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER RATH
Title or Position: PRESIDENT
Credential: MPT
Phone: 443-995-1618