Provider Demographics
NPI:1407373681
Name:ADAPTIVE REHABILITATION SERVICES OF MARYLAND LLC
Entity Type:Organization
Organization Name:ADAPTIVE REHABILITATION SERVICES OF MARYLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:216-772-3192
Mailing Address - Street 1:5990 VENTURE DR STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2273
Mailing Address - Country:US
Mailing Address - Phone:216-772-1105
Mailing Address - Fax:216-278-0019
Practice Address - Street 1:3332 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-1952
Practice Address - Country:US
Practice Address - Phone:410-239-7139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty