# 360 REHAB & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 360 Physical Therapy & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487109740
- **Authorized official:** RAJAT KUMAR DPT OCS SCS FAAOMPT (OWNER, CEO)
- **Authorized official phone:** (443) 857-7280

## Contact information

- **Practice address:** 11840 W MARKET PL STE G, FULTON, MD 20759-2619
- **Practice address phone:** (443) 857-7280
- **Mailing address:** 3432 WINTERBERRY CT, REISTERSTOWN, MD 21136-4400
- **Mailing address phone:** (443) 857-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 01/28/2020