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NPI Code Detail

MEDICARE: SELECT REHABILITATION

MEDICARE: SELECT REHABILITATION
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
1251E00000XHome Health Agency18665MD
2314000000XSkilled Nursing Facility18665MD

General Provider Information

NPI Number : 1609249689
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT REHABILITATION
Provider Business Mailing Address
First Line : 8103 MAXFIELD DR
Second Line :
City : CLINTON
State : MD
Zip : 20735-2262
Country : US
Telephone Number : 301-742-8863
Fax Number :
Provider Business Practice Location Address
First Line : 9211 STUART LN
Second Line :
City : CLINTON
State : MD
Zip : 20735-2712
Country : US
Telephone Number : 301-868-3600
Fax Number : 240-318-2350
Authorized Official
Title or Position : STAFF PHYSICAL THERAPIST
Name : MS. DEBORAH FISK FLETCHER
Credential : PT
Telephone Number : 301-868-3600
Provider Enumeration Date : 11/12/2015
Last Update Date : 11/12/2015

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1437223427 — CLINTON NURSING, LLC
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1710408885 — OLIVIA C ANAELE-NWOGU NURSE PRACTITIONER
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1689155525 — JASMINE ATCHISON
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Directions to “SELECT REHABILITATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.