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General NPI Number Information
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NPI Number | 1104994664
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Entity Type | Organization
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Legal Business Name | WELLNESS REHABILITATION INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 8305 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20814-3103
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Country | US
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Telephone | 240-481-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 9913 JULLIARD DR
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City | BETHESDA
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State | MD
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Zip | 20817-1739
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | MS. CYNTHIA WEISS
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Credential |
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Telephone | 301-493-9257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16090
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License Number State | MD
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