# QUANTUM REHABILITATION MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962043760
- **Authorized official:** DR. DORISCINE COLLEY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 315-6359

## Contact information

- **Practice address:** 12150 ANNAPOLIS RD STE 211, GLENN DALE, MD 20769-9183
- **Practice address phone:** (410) 685-1188
- **Practice address fax:** (410) 685-1889
- **Mailing address:** PO BOX 6553, COLUMBIA, MD 21045-6553
- **Mailing address phone:** (443) 315-6359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2019
- **Last updated:** 03/28/2020