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Organization
ARATA REHAB, LLC
Active
Organization
ARATA REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ARATA (OWNER)
(707) 235-5965
Entity
Organization
Contact information
Practice address
3507 GREENSPRING AVE, BALTIMORE, MD 21211-1306
(707) 235-5965
Mailing address
3507 GREENSPRING AVE, BALTIMORE, MD 21211-1306
(707) 235-5965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07894
STATE LICENSE
MD
01
—
14077904
ASHA
—
01
—
1467924795
NPI TYPE 1
—
Enumeration date
10/12/2020
Last updated
10/12/2020
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