Organization
PEAK REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA E. FRIEND PHD CCC SLP (VICE PRESIDENT)
(301) 533-1010
Entity
Organization
Contact information
Practice address
1477 MARYLAND HWY, MT LAKE PARK, MD 21550-6346
(301) 533-1010
(301) 334-3059
Mailing address
1477 MARYLAND HWY, MT LAKE PARK, MD 21550-6346
(301) 533-1010
(301) 334-3059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204985000
—
WV
01
—
263871
MAMSI
MD
01
—
43350
IWIF
MD
01
—
J980
FED CARE FIRST
MD
01
—
KBA5PE
CAREFIRST
MD
Enumeration date
07/11/2005
Last updated
08/22/2020
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