Provider First Line Business Practice Location Address:
20410 CENTURY BLVD
Provider Second Line Business Practice Location Address:
MEDSTAR NRH REHAB NETWORK - #215
Provider Business Practice Location Address City Name:
GERMANTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20874-1186
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-540-6140
Provider Business Practice Location Address Fax Number:
301-540-5190
Provider Enumeration Date:
09/12/2013