# MARYLAND WELLNESS AND REHABILITATION LC

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

## Provider details

- **NPI number:** 1013312602
- **Authorized official:** ROEL MANUEL EVANGELISTA MA (MANAGING MEMBER)
- **Authorized official phone:** (602) 332-2490

## Contact information

- **Practice address:** 7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
- **Practice address phone:** (602) 332-2490
- **Mailing address:** 7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
- **Mailing address phone:** (602) 332-2490

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/30/2014