Healthcare Provider Details

I. General information

NPI: 1053857797
Provider Name (Legal Business Name): GARRETT ORTHOPEDIC PHYSICAL THERAPY & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13141 GARRETT HWY
OAKLAND MD
21550-1164
US

IV. Provider business mailing address

13141 GARRETT HWY
OAKLAND MD
21550-1164
US

V. Phone/Fax

Practice location:
  • Phone: 301-334-5220
  • Fax: 301-334-6277
Mailing address:
  • Phone: 301-334-5220
  • Fax: 301-334-6277

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

VIII. Authorized Official

Name: MR. MICHAEL LOUIS VOELKEL JR.
Title or Position: PRESIDENT
Credential: P.T.
Phone: 301-334-5220