Organization
X-CEL PERFORMANCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SHAMBAUGH OTR (OWNER)
(301) 876-5892
Entity
Organization
Contact information
Practice address
4767 FRANKFORT HIGHWAY, RIDGELEY, WV 26753-7772
(301) 876-5892
Mailing address
4767 FRANKFORT HIGHWAY, RIDGELEY, WV 26753-7772
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
06809
MD
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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