Organization
CIVISTA MEDICAL CENTER, INC.
Active
Parent organization
CIVISTA MEDICAL CENTER, INC. DBA UM CRMC
Other names
University Of Maryland Charles Regional Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIVISTA MEDICAL CENTER, INC. DBA UM CRMC
Authorized official
JOSEPH MOSER (CHIEF MEDICAL OFFICER)
(301) 609-4599
Entity
Organization
Contact information
Practice address
5 N LA PLATA CT STE 102, LA PLATA, MD 20646-5207
(301) 609-4292
Mailing address
5 N LA PLATA CT STE 102, LA PLATA, MD 20646-5207
(301) 609-4292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MD
225X00000X
Occupational Therapist
—
MD
235Z00000X
Speech-Language Pathologist
—
MD
Other
Enumeration date
11/25/2014
Last updated
02/17/2021
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