Organization
GARRETT REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE M CLARK (CREDENTIALING COORDINATOR)
(301) 334-1863
Entity
Organization
Contact information
Practice address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835
Mailing address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
(301) 334-5835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MD
225X00000X
Occupational Therapist
—
MD
235Z00000X
Speech-Language Pathologist
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044470
WV WORKERS' COMPENSATION
WV
05
—
186300200
—
MD
01
—
37456
IWIF
MD
05
—
3810004255
—
WV
01
—
KG97
CAREFIRST BCBS
MD
01
—
W281
FEDERAL BCBS
MD
Enumeration date
08/24/2005
Last updated
07/21/2022
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