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Organization
WONDAFRASH REHAB LLC
Active
Organization
WONDAFRASH REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS TESHOME (OWNER)
(215) 432-6315
Entity
Organization
Contact information
Practice address
5805 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3867
(301) 277-6500
Mailing address
306 W REDWOOD ST STE 200, BALTIMORE, MD 21201-1708
(215) 432-6315
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
Other
Enumeration date
01/09/2023
Last updated
09/16/2026
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