Organization
PROFESSIONAL REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GORDONLARSON WARFEL (PRESIDENT)
(410) 245-5030
Entity
Organization
Contact information
Practice address
2601 GARRETT RD, WHITE HALL, MD 21161-9743
(410) 245-5030
Mailing address
2601 GARRETT RD, WHITE HALL, MD 21161-9743
(410) 245-5030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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