Healthcare Provider Details

I. General information

NPI: 1730230384
Provider Name (Legal Business Name): MULTICULTURAL REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10207 GREEN HOLLY TER
SILVER SPRING MD
20902-5812
US

IV. Provider business mailing address

10207 GREEN HOLLY TER
SILVER SPRING MD
20902-5812
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-2200
  • Fax:
Mailing address:
  • Phone: 301-754-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIAELISA TORRES BRANAGAN
Title or Position: PROGRAM DIRECTOR
Credential: CCC-SLP
Phone: 301-754-2200