# MDICS REHABILITATIVE SERVICES LLC

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

## Provider details

- **NPI number:** 1720829690
- **Authorized official:** TIM DELBRUGGE (CFO)
- **Authorized official phone:** (301) 693-8707

## Contact information

- **Practice address:** 5 GARRETT AVE, LA PLATA, MD 20646-5960
- **Practice address phone:** (301) 609-4000
- **Mailing address:** 7250 PARKWAY DR STE 120, HANOVER, MD 21076-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2024
- **Last updated:** 06/04/2024