Organization
GATEKEEPER ENTERPRISES, LLC
Active
Parent organization
GATEKEEPER ENTERPRISES, LLC
Other names
Portera Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEKEEPER ENTERPRISES, LLC
Authorized official
MR. RAPHAEL J DENBOW DPT (CEO/OWNER)
(301) 358-6155
Entity
Organization
Contact information
Practice address
4483 FORBES BLVD STE A, LANHAM, MD 20706-4377
(240) 467-5732
Mailing address
4483 FORBES BLVD STE A, LANHAM, MD 20706-4377
(240) 467-5732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21443
MD
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420429800
—
MD
Enumeration date
07/22/2015
Last updated
01/30/2020
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