Organization
PREMIER REHABILITATION MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA PERKINS BROWN MD (OWNER)
(410) 499-8092
Entity
Organization
Contact information
Practice address
12505 DORSEY LN, UPPER MARLBORO, MD 20772-5374
(410) 499-8092
(301) 868-4446
Mailing address
12505 DORSEY LN, UPPER MARLBORO, MD 20772-5374
(410) 499-8092
(301) 868-4446
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0066461
MD
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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