# WALTROUS REHABILITATION MEDICINE ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1104240845
- **Authorized official:** DR. JUSTIN WALTROUS M.D. (OWNER)
- **Authorized official phone:** (240) 460-4661

## Contact information

- **Practice address:** 7610 PENNSYLVANIA AVE, DISTRICT HEIGHTS, MD 20747-4701
- **Practice address phone:** (301) 817-3001
- **Mailing address:** 8701 HAYSHED LN APT 34, COLUMBIA, MD 21045-2841
- **Mailing address phone:** (240) 460-4661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D77249 | MD | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 02/18/2014