Provider Demographics
NPI:1720390149
Name:ACCESS MEDICAL REHABILITATION, LLC
Entity Type:Organization
Organization Name:ACCESS MEDICAL REHABILITATION, LLC
Other - Org Name:ACCESS REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFIK
Authorized Official - Middle Name:
Authorized Official - Last Name:TARFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-599-8420
Mailing Address - Street 1:9500 PENNSYLVANIA AVE
Mailing Address - Street 2:STE. 6
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3658
Mailing Address - Country:US
Mailing Address - Phone:301-599-8420
Mailing Address - Fax:301-599-8280
Practice Address - Street 1:9500 PENNSYLVANIA AVE
Practice Address - Street 2:STE. 6
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3658
Practice Address - Country:US
Practice Address - Phone:301-599-8420
Practice Address - Fax:301-599-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20955174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty