# EARTH ANGELS INC. OUTPATIENT REHAB

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

## Provider details

- **NPI number:** 1174894562
- **Authorized official:** MS. RITA EZE (OWNER/ CEO)
- **Authorized official phone:** (301) 213-9925

## Contact information

- **Practice address:** 2602 SOMERTON CT, BOWIE, MD 20721-2981
- **Practice address phone:** (301) 213-9925
- **Practice address fax:** (301) 883-8414
- **Mailing address:** 2602 SOMERTON CT, BOWIE, MD 20721-2981
- **Mailing address phone:** (301) 213-9925
- **Mailing address fax:** (301) 883-8414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/23/2020