Organization
FOUNDATION REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LAUDER M.P.T. (PRESIDENT)
(301) 463-5038
Entity
Organization
Contact information
Practice address
57 JACKSON ST, LONACONING, MD 21539-1307
(301) 463-5451
(301) 463-5456
Mailing address
PO BOX 102, LONACONING, MD 21539-0102
(301) 463-5038
(301) 463-5426
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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