Quantum Rehabilitation Medicine
Physical Medicine & Rehabilitation in Glenn Dale, MD. Organization (NPI-2).
NPI number1962043760
StatusActive
Last updated in NPPESMar 28, 2020
Details
- NPI
- 1962043760
- Entity type
- Organization (NPI-2)
- Legal business name
- Quantum Rehabilitation Medicine
- Organization subpart
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Mar 28, 2020
- Last updated
- Mar 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Other names
- None (Former Legal Business Name)
Practice location
12150 Annapolis Rd Ste 211Glenn Dale, MD 20769-9183
Phone 410-685-1188 · Fax 410-685-1889
Mailing address
Po Box 6553Columbia, MD 21045-6553
Phone 443-315-6359
Other practice locations
4 N Exeter St Ste 102
Baltimore, MD 21202-4711
Baltimore, MD 21202-4711
Phone 410-685-1188 · Fax 410-685-1889
Authorized official
Doriscine Colley
Medical Director
4433156359
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