Organization
GATEKEEPER ENTERPRISES, LLC
Active
Other names
Portera Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL JOSHUA DENBOW II PT (OWNER)
(202) 403-7607
Entity
Organization
Contact information
Practice address
4467 OLD BRANCH AVE STE 103, TEMPLE HILLS, MD 20748-1854
(301) 358-6155
(301) 423-1440
Mailing address
4467 OLD BRANCH AVE STE 103, TEMPLE HILLS, MD 20748-1854
(301) 358-6155
(301) 423-1440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21443
MD
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/12/2009
Last updated
01/30/2020
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