Organization
FLAGSHIP REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON KATHLEEN PUSEY RN (VP CORPORATE COMPLIANCE/QI)
(301) 722-3215
Entity
Organization
Contact information
Practice address
12185 CLIPPER DR, LAKE RIDGE, VA 22192-2236
(703) 496-3486
(703) 496-3487
Mailing address
157 BALTIMORE ST STE 200, CUMBERLAND, MD 21502-2472
(301) 722-3215
(301) 722-1028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000004
COMMERCIAL
VA
Enumeration date
09/19/2018
Last updated
09/19/2018
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