# GARRETT ANESTHESIA & PAIN MGMT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GARRETT ANESTHESIA & PAIN MGMT
- **Other names:** Gonzaga Comprehensive Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518412782
- **Legal business name:** GARRETT ANESTHESIA & PAIN MGMT
- **Authorized official:** AUSTIN WHITE (PRESIDENT)
- **Authorized official phone:** (240) 362-7718

## Contact information

- **Practice address:** 957 NATIONAL HWY FL 1, LAVALE, MD 21502-7356
- **Practice address phone:** (240) 362-7718
- **Practice address fax:** (240) 362-7731
- **Mailing address:** 957 NATIONAL HWY FL 1, LAVALE, MD 21502-7356
- **Mailing address phone:** (240) 362-7718
- **Mailing address fax:** (240) 362-7731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 08/17/2016