Basic Information
| Provider Information | |||||||||
| NPI: | 1306481585 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REBOUND PHYSICAL THERAPY GROUP, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1058 GARETH DR | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211574100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4435369038 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19 LIBERTY ST STE 1 | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211574914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4435369038 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2019 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| AuthorizedOfficialLastName: | KUHLMANN | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4435369038 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | OT, CHT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.