# MARYLAND REHAB, LLC

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

## Provider details

- **NPI number:** 1598163610
- **Authorized official:** DR. MOHAMED S MANSOUR DPT (OWNER)
- **Authorized official phone:** (301) 957-1237

## Contact information

- **Practice address:** 13500 GAMBREL CT, LAUREL, MD 20708-1389
- **Practice address phone:** (301) 617-2773
- **Practice address fax:** (240) 334-4824
- **Mailing address:** 13500 GAMBREL CT, LAUREL, MD 20708-1389
- **Mailing address phone:** (301) 617-2773
- **Mailing address fax:** (240) 334-4824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 23820 | MD | — |
| 225100000X | Physical Therapist | PT870480 | DC | Yes |

## Other

- **Enumeration date:** 12/06/2014
- **Last updated:** 12/31/2014