Organization
LIFESTYLE REHAB AND WELLNESS, LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BROWN (CEO)
(202) 262-1182
Entity
Organization
Contact information
Practice address
80 M ST SE, WASHINGTON, DC 20003-3544
(202) 262-1182
Mailing address
13000 PISCATAWAY DR, FT WASHINGTON, MD 20744-6620
(202) 262-1182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT617
DC
Other
Enumeration date
09/04/2014
Last updated
08/05/2019
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