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Organization
MAGNOLIA GARDENS LLC
Active
Organization
MAGNOLIA GARDENS LLC
Active
Other names
Doctors Community Rehabilitation and Patient Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 552-2000
Mailing address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 552-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16011
MD
225X00000X
Occupational Therapist
16011
MD
Other
Enumeration date
06/03/2016
Last updated
08/29/2017
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