Organization
MOBILITY REHAB PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC ALAN MYZAL (COO)
(410) 833-2603
Entity
Organization
Contact information
Practice address
1106 BUSINESS PARKWAY SOUTH, A-1, WESTMINSTER, MD 21157
(410) 833-2603
(410) 833-2640
Mailing address
1106 BUSINESS PARKWAY SOUTH, A-1, WESTMINSTER, MD 21157
(410) 833-2603
(410) 833-2640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06013861
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1259030001
PTAN
MD
Enumeration date
10/25/2005
Last updated
11/19/2013
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