Organization
PATAPSCO HEALTH & REHAB LLC
Active
Other names
Patapsco Integrative Medicine & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIEL SHARIEF HAFIZ (MANAGING EMPLOYEE W-2)
(410) 227-4939
Entity
Organization
Contact information
Practice address
8975 GUILFORD RD STE 170, COLUMBIA, MD 21046-2389
(410) 705-5541
Mailing address
14 STONE SPRING CT, CATONSVILLE, MD 21228-5367
(410) 227-4939
(769) 201-0777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/04/2020
Last updated
02/12/2023
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