Organization
HYATTSVILLE REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU MIN KO MD (OWNER)
(703) 214-1000
Entity
Organization
Contact information
Practice address
7411 RIGGS RD STE 219, ADELPHI, MD 20783-4246
(703) 214-1000
Mailing address
7411 RIGGS RD STE 219, ADELPHI, MD 20783-4246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
05/01/2019
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