# PROTERA REHABILITATION

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

## Provider details

- **NPI number:** 1356897045
- **Authorized official:** RAPHAEL DENBOW DPT (OWNER)
- **Authorized official phone:** (202) 403-7607

## Contact information

- **Practice address:** 4467 OLD BRANCH AVE, SUITE 103, TEMPLE HILLS, MD 20748-1854
- **Practice address phone:** (301) 358-6155
- **Mailing address:** 4467 OLD BRANCH AVE, SUITE 103, TEMPLE HILLS, MD 20748-1854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 26054 | MD | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016