# AMERICAN REHABILITATION & ELECTRODIAGNOSTICS PC

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

## Provider details

- **NPI number:** 1558667618
- **Authorized official:** MERVET ELASSAL-MAXIMOUS MD (PRESIDENT)
- **Authorized official phone:** (434) 774-2500

## Contact information

- **Practice address:** 413 BRACEY LN, SOUTH HILL, VA 23970-1632
- **Practice address phone:** (434) 774-2500
- **Mailing address:** PO BOX 441, SOUTH HILL, VA 23970-0441
- **Mailing address phone:** (434) 447-8580
- **Mailing address fax:** (434) 447-8538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101053050 | VA | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 05/25/2011