# BAKER REHAB AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baker Rehab Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346605474
- **Authorized official:** BRANDON BAKER (BUSINESS MANAGER)
- **Authorized official phone:** (240) 617-0786

## Contact information

- **Practice address:** 197 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4314
- **Practice address phone:** (301) 662-1997
- **Mailing address:** 197 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702-4314
- **Mailing address phone:** (301) 662-1997
- **Mailing address fax:** (301) 668-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | MD | Yes |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 08/18/2022