# FOUNDATION REHAB, INC.

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

## Provider details

- **NPI number:** 1952590416
- **Authorized official:** MR. JAMES LAUDER M.P.T. (PRESIDENT)
- **Authorized official phone:** (301) 463-5038

## Contact information

- **Practice address:** 57 JACKSON ST, LONACONING, MD 21539-1307
- **Practice address phone:** (301) 463-5451
- **Practice address fax:** (301) 463-5456
- **Mailing address:** PO BOX 102, LONACONING, MD 21539-0102
- **Mailing address phone:** (301) 463-5038
- **Mailing address fax:** (301) 463-5426

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 10/22/2007