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NPI Code Detail

MEDICARE: NRH REGIONAL REHAB AT OLNEY, INC.

MEDICARE: NRH REGIONAL REHAB AT OLNEY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1417950791
Entity Type Code : Organization
Provider Name (Legal Business Name) : NRH REGIONAL REHAB AT OLNEY, INC.
Provider Business Mailing Address
First Line : 102 IRVING ST NW
Second Line : ATTN: MHPT PAYOR ENROLLMENT
City : WASHINGTON
State : DC
Zip : 20010-2921
Country : US
Telephone Number : 301-540-6140
Fax Number : 301-540-5190
Provider Business Practice Location Address
First Line : 18109 PRINCE PHILIP DR STE 155
Second Line :
City : OLNEY
State : MD
Zip : 20832-1591
Country : US
Telephone Number : 301-260-3280
Fax Number : 301-260-3279
Authorized Official
Title or Position : PRESIDENT
Name : JOHN DAVID ROCKWOOD
Credential :
Telephone Number : 301-540-6140
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/28/2024

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