Provider Demographics
NPI:1811321938
Name:CAPITAL REHABILITATION ASSOCIATES
Entity type:Organization
Organization Name:CAPITAL REHABILITATION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-340-0029
Mailing Address - Street 1:19710 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:POOLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20837-2098
Mailing Address - Country:US
Mailing Address - Phone:301-340-0029
Mailing Address - Fax:
Practice Address - Street 1:19710 FISHER AVE
Practice Address - Street 2:
Practice Address - City:POOLESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20837-2098
Practice Address - Country:US
Practice Address - Phone:301-340-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0064810208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH0064810OtherMD LICENSE