Provider Demographics
NPI:1598083420
Name:COMPREHENSIVE REHABILITATION SERVICES, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE REHABILITATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:CORT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:301-587-4180
Mailing Address - Street 1:8121 GEORGIA AVE
Mailing Address - Street 2:SUITE 720
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4933
Mailing Address - Country:US
Mailing Address - Phone:301-587-4180
Mailing Address - Fax:301-587-9141
Practice Address - Street 1:8121 GEORGIA AVE
Practice Address - Street 2:SUITE 720
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4933
Practice Address - Country:US
Practice Address - Phone:301-587-4180
Practice Address - Fax:301-587-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty