Organization
THE MOBILE BRAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GRACE C REYES OTD, OTR/L, CSRS (MANAGING MEMBER)
(240) 839-1390
Entity
Organization
Contact information
Practice address
11140 ROCKVILLE PIKE STE 100-1206, ROCKVILLE, MD 20852-3106
(240) 839-1454
(240) 399-1354
Mailing address
11140 ROCKVILLE PIKE STE 100-1206, ROCKVILLE, MD 20852-3106
(240) 839-1454
(240) 399-1354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516013800
—
MD
Enumeration date
05/03/2021
Last updated
10/08/2022
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