Organization
REBOUND HEALTH AND WELLNESS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSTON EUGENE JOHNSON (CEO/PRESIDENT)
(202) 459-9866
Entity
Organization
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE STE 101, WASHINGTON, DC 20019-3622
(202) 459-9866
(888) 316-9392
Mailing address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 459-9866
(888) 316-9392
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400316002097
BASIC BUSINESS LICENSE
DC
Enumeration date
12/17/2019
Last updated
12/17/2019
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