# PHYSIOCARE REHAB & WELLNESS, LLC

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

## Provider details

- **NPI number:** 1730564394
- **Authorized official:** DR. KWABENA OFORI-ANSAH DPT (PRESIDENT/CEO)
- **Authorized official phone:** (240) 460-0960

## Contact information

- **Practice address:** 7651 MATAPEAKE BUSINESS DR STE 203, BRANDYWINE, MD 20613-3038
- **Practice address phone:** (443) 583-4180
- **Mailing address:** 7651 MATAPEAKE BUSINESS DR \# 203, BRANDYWINE, MD 20613-3038
- **Mailing address phone:** (301) 782-4600
- **Mailing address fax:** (301) 782-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 22667 | MD | Yes |

## Other

- **Enumeration date:** 07/24/2015
- **Last updated:** 04/12/2023