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Organization
PROTERA REHABILITATION
Active
Organization
PROTERA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL DENBOW DPT (OWNER)
(202) 403-7607
Entity
Organization
Contact information
Practice address
4467 OLD BRANCH AVE, SUITE 103, TEMPLE HILLS, MD 20748-1854
(301) 358-6155
Mailing address
4467 OLD BRANCH AVE, SUITE 103, TEMPLE HILLS, MD 20748-1854
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
26054
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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