# ATLANTIC REHAB, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003855461
- **Authorized official:** RONALD M. KELCH PTA, MS, JSCC (DIRECTOR)
- **Authorized official phone:** (410) 768-9500

## Contact information

- **Practice address:** 5 CRAIN HWY N, SUITE 103, GLEN BURNIE, MD 21061-2803
- **Practice address phone:** (410) 768-9500
- **Practice address fax:** (410) 768-5200
- **Mailing address:** 5 CRAIN HWY N, SUITE 103, GLEN BURNIE, MD 21061-2803
- **Mailing address phone:** (410) 768-9500
- **Mailing address fax:** (410) 768-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | A1924 | MD | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 10/25/2021