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Organization
MARYLAND WELLNESS AND REHABILITATION LC
Active
Organization
MARYLAND WELLNESS AND REHABILITATION LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROEL MANUEL EVANGELISTA MA (MANAGING MEMBER)
(602) 332-2490
Entity
Organization
Contact information
Practice address
7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
(602) 332-2490
Mailing address
7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
(602) 332-2490
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/27/2014
Last updated
10/30/2014
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