# PATAPSCO HEALTH & REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patapsco Integrative Medicine & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982228045
- **Authorized official:** JAMIEL SHARIEF HAFIZ (MANAGING EMPLOYEE W-2)
- **Authorized official phone:** (410) 227-4939

## Contact information

- **Practice address:** 8975 GUILFORD RD STE 170, COLUMBIA, MD 21046-2389
- **Practice address phone:** (410) 705-5541
- **Mailing address:** 14 STONE SPRING CT, CATONSVILLE, MD 21228-5367
- **Mailing address phone:** (410) 227-4939
- **Mailing address fax:** (769) 201-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/04/2020
- **Last updated:** 02/12/2023