# MAXWELL REHABILITATION PLLC

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

## Provider details

- **NPI number:** 1376983437
- **Authorized official:** ANN MILLER MAXWELL MD (OWNER)
- **Authorized official phone:** (804) 920-1381

## Contact information

- **Practice address:** 1515 W PETTIGREW ST, DURHAM, NC 27705-4821
- **Practice address phone:** (919) 286-0751
- **Practice address fax:** (919) 286-7065
- **Mailing address:** 1302 N DUKE ST, DURHAM, NC 27701-1652
- **Mailing address phone:** (804) 920-1381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2013-00883 | NC | Yes |

## Other

- **Enumeration date:** 07/03/2013
- **Last updated:** 07/03/2013