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Organization
TRI-STATE REHAB INC
Active
Organization
TRI-STATE REHAB INC
Active
Other names
FYZICAL THERAPY AND BALANCE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH S KENNEDY (ADMINSTRATIVE DIRECTOR)
(301) 714-0700
Entity
Organization
Contact information
Practice address
19733 LEITERSBURG PIKE STE 102, HAGERSTOWN, MD 21742-1484
(301) 714-0700
(301) 714-0703
Mailing address
19737 LEITERSBURG PIKE, SUITE B, HAGERSTOWN, MD 21742-1443
(240) 420-0859
(240) 420-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690700800
—
MD
Enumeration date
02/15/2007
Last updated
01/07/2025
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