# MID-ATLANTIC BRAIN & NEUROLOGICAL REHABILITATION, INC.

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

## Provider details

- **NPI number:** 1447771431
- **Authorized official:** DR. BRICE SPRINGER JACKSON DC (TREASURER)
- **Authorized official phone:** (434) 249-7462

## Contact information

- **Practice address:** 1400 FOREST GLEN RD STE 225, SILVER SPRING, MD 20910-1459
- **Practice address phone:** (240) 766-8881
- **Practice address fax:** (240) 766-3763
- **Mailing address:** 1400 FOREST GLEN RD STE 225, SILVER SPRING, MD 20910-1459
- **Mailing address phone:** (240) 766-8881
- **Mailing address fax:** (240) 766-3763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | 06275 | MD | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 07/21/2022
