Organization
CAPITAL REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FELISILDA P.T. (PHYSICAL THERAPIST)
(706) 897-5835
Entity
Organization
Contact information
Practice address
9047 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(240) 477-7207
(240) 477-7527
Mailing address
9047 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(240) 477-7207
(240) 477-7527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23559
MD
225X00000X
Occupational Therapist
05279
MD
Other
Enumeration date
05/21/2015
Last updated
01/06/2016
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