# GREENBELT REHAB

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

## Provider details

- **NPI number:** 1104037852
- **Authorized official:** DR. LOUIS S CRIVELLI II D.C., M.S., C.N.S. (CLINIC DIRECTOR)
- **Authorized official phone:** (301) 474-5505

## Contact information

- **Practice address:** 8713 GREENBELT RD, SUITE 201, GREENBELT, MD 20770-2481
- **Practice address phone:** (301) 474-5505
- **Practice address fax:** (301) 474-5505
- **Mailing address:** 8713 GREENBELT RD, SUITE 201, GREENBELT, MD 20770-2481
- **Mailing address phone:** (301) 474-5505
- **Mailing address fax:** (301) 474-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | S02085-PT | MD | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 06/30/2010