# JVS REHABILITATION, INC

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

## Provider details

- **NPI number:** 1982792099
- **Authorized official:** MR. MARK R SALLITT (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (410) 740-0300

## Contact information

- **Practice address:** 10632 LITTLE PATUXENT PKWY, SUITE 129, COLUMBIA, MD 21044-3273
- **Practice address phone:** (410) 740-0300
- **Practice address fax:** (410) 740-0302
- **Mailing address:** 10632 LITTLE PATUXENT PKWY, SUITE 129, COLUMBIA, MD 21044-3273
- **Mailing address phone:** (410) 740-0300
- **Mailing address fax:** (410) 740-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 10/21/2011
