# LIFEBRIDGE REHABILITATION SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144689050
- **Legal business name:** LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
- **Authorized official:** DAVID H. KRAJEWSKI (PRESIDENT & TREASURER)
- **Authorized official phone:** (410) 601-5136

## Contact information

- **Practice address:** 2211 W ROGERS AVE, BALTIMORE, MD 21209-4420
- **Practice address phone:** (443) 810-2338
- **Mailing address:** 3855 GREENSPRING AVE, BALTIMORE, MD 21211-3300
- **Mailing address phone:** (410) 225-9337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 07/21/2022