Organization
THE MOBILE BRAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GRACE REYES OTD,OTR/L,CSRS,CNS (OWNER)
(240) 839-1454
Entity
Organization
Contact information
Practice address
203 NIMITZ AVE, ROCKVILLE, MD 20851-1168
(240) 839-1454
Mailing address
203 NIMITZ AVE, ROCKVILLE, MD 20851-1168
(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
06/14/2026
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