Organization
MARYLAND WELLNESS AND REHABILITATION LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROEL MANUEL EVANGELISTA MA (MANAGING MEMBER)
(602) 332-2490
Entity
Organization
Contact information
Practice address
7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
(602) 332-2490
Mailing address
7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
(602) 332-2490
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/30/2014
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