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Organization

MARYLAND SPORTSCARE & REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUANA GRANADOS (DIRECTOR, CREDENTIALING)
(630) 575-1980
Entity
Organization

Contact information

Practice address
1801 RITCHIE STATION CT STE 200, CAPITOL HEIGHTS, MD 20743-5075
(240) 455-9400
(240) 455-9401
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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