Provider Demographics
NPI:1376734830
Name:A&M REHAB MEDICAL SERVICES, L.L.C.
Entity Type:Organization
Organization Name:A&M REHAB MEDICAL SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:202-772-4152
Mailing Address - Street 1:1050 CONNECTICUT AVE NW
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5303
Mailing Address - Country:US
Mailing Address - Phone:202-772-4152
Mailing Address - Fax:
Practice Address - Street 1:1050 CONNECTICUT AVE NW
Practice Address - Street 2:10TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5303
Practice Address - Country:US
Practice Address - Phone:202-772-4152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty