# WONDAFRASH REHAB LLC

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

## Provider details

- **NPI number:** 1609580281
- **Authorized official:** MARCUS TESHOME (OWNER)
- **Authorized official phone:** (215) 432-6315

## Contact information

- **Practice address:** 5805 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3867
- **Practice address phone:** (301) 277-6500
- **Mailing address:** 306 W REDWOOD ST STE 200, BALTIMORE, MD 21201-1708
- **Mailing address phone:** (215) 432-6315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 09/16/2026