Organization
GENERATIONS REHAB GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LAUDER MPT (PRESIDENT)
(301) 268-9995
Entity
Organization
Contact information
Practice address
57 JACKSON ST, LONACONING, MD 21539-1307
(301) 463-5451
(301) 268-5426
Mailing address
57 JACKSON ST, LONACONING, MD 21539-1307
(301) 463-5451
(301) 268-5426
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003261850
—
MD
05
—
1346588829
—
MD
05
—
1568813889
—
MD
05
—
1629102561
—
MD
Enumeration date
10/14/2022
Last updated
01/30/2023
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