30 West Gude Drive, Suite 230
Rockville, MD 20850
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Julie Milanick Howar, OTR/L, CWA, CWT, CES
Chief Executive Officer, Corporate Office
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Elizabethtown College, Elizabethtown, PA
Bachelor of Science, Occupational Therapy - 1981
Prior to opening REHAB AT WORK Julie had quite a diversified background in the Occupational Therapy field. In 1985 she began to specialize in work related injuries and chronic pain patients. In 1990 Julie founded REHAB AT WORK, currently the largest privately owned industrial rehabilitation provider in the DC Metro area. Functional activities for the Physical Therapy and Industrial Rehab patients and exceptional customer service for our clients are the cornerstones of her company’s success.
She has been a member of professional organizations and a presenter both on the national and local levels. She has served on boards such as Maryland Joint Task Force and the Chesapeake Association of Rehabilitation Professionals in the Private Sector. Her certifications include Certified Work Adjustment Specialist, Certified Weight Trainer and Certified Ergonomic Specialist.
“Association Between Clinician Assessed Lifting Ability and Workplace Tolerance and Patient Self-Reported Pain and Disability Following Work Conditioning”, Hart D. L., Kirk M., Howar J., and Mongeon S., WORK: A Journal of Prevention, Assessment & Rehabilitation, February 2007.
“Development of Clinical Standards in Industrial Rehabilitation”, Hart, D.L., Kirk, M., Berlin, S., Brager, P., Caruso, M., Hejduk, J., Howar, J., Snyder, K., Susi, J., Wah, M. Journal of Orthopedic and Sports Physical Therapy, May 1994.
“Industrial Rehabilitation Services Forms, Checklist, & Guidelines”, Aspen Reference Group, 1997 contributor
Darla Croce, RKT
Director of Business Development, Corporate
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Slippery Rock University, Slippery Rock, PA
Bachelors of Science, Kinesiotherapy
Darla Croce has treated in the field of outpatient therapy and sports medicine since 1993. She began her practice in California as a therapist for two years in an orthopedic therapy setting. Thereafter, she has focused her experience working and supporting the recovery of injured workers. In 1995 she joined the REHAB AT WORK team, and has since been an integral member having held the positions of Work Hardening Coordinator, Clinic Manager, Regional Manager and Director of Marketing and Quality Assurance. Darla currently holds the position of Director of Business Development.
In 2008 she held the position of President of CARPPS-Chesapeake Association of Rehab Professionals in the Private Sector. Darla currently serves as Secretary of the organization. She has been a member of IARPS-International Association of Rehabilitation Professionals. Darla has presented in-services locally and nationally.
“I emphasize active therapy because our bodies respond well to new physical demands by becoming stronger, more flexible and less symptomatic. The most important part of my practice is helping you to help yourself.”
Nathan Paraska, MPT
Director of Physical Therapy Services, Corporate Office
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Duquesne University, Pittsburgh, PA College
Bachelor of Science, 1998
Medical College of Philadelphia, Philadelphia, PA
Masters in Physical Therapy, 2001
Nathan began his career in Physical Therapy and Industrial Rehabilitation with REHAB AT WORK in 2001. Nathan has since provided Physical Therapy to those with orthopedic injuries in the Baltimore region, focusing his practice in Orthopedic Physical Therapy and as a Functional Capacity Evaluator. In 2002, he was promoted to the Clinic Manager position for REHAB AT WORK’s Baltimore clinic. In 2007 he was again promoted to the Regional Manager position, overseeing the clinical and operational management of both the Baltimore and Pikesville clinics. Most recently, he was promoted to Director of Physical Therapy Services.
Nathan is a dedicated member of the Maryland Workers’ Compensation Community frequently lecturing for other health professionals and organizations on topics in areas of Industrial Rehabilitation, Physical Therapy and Orthopedics. He is an active member of the Baltimore Claims Association and has testified as an expert witness on industrial rehabilitation.
“My first goal is always to educate the patients about their condition. Throughout their care, I want to empower my patients to continue the rehabilitation process at home for lasting success and to prevent further injury. Often a very simple change in lifestyle, including home exercise or a change in body mechanics can make all the difference.”
Crysonna Prebble, PT
Clinical Director, Corporate Office
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University of Hartford
Bachelor of Science, Physical Therapy
Crysonna’s 16 years of experience with outpatient orthopedics and Industrial Rehabilitation have been developed through her employment with REHAB AT WORK. Prior to her current role as a Clinical Director, she has served as Clinic Manager, Staff Therapist, and Work Hardening Coordinator.
Crysonna has developed her orthopedic clinical skills with a focus on integrating Manual Therapy techniques with progressive strengthening and functional based treatment protocols to enhance recovery outcomes and to facilitate patients back to their pre-morbid activities with a specialized focus in treating the injured worker. Courses have included, but are not limited to Mobilization of the Cervical and Thoracic Spine and Ribs, Basics of Sacroiliac Mobilization, Integrated Neuromuscular Re-Education, Muscle Energy Therapy and Positional Release, Assessment and Treatment of the Pelvic Functional Unit, Ergonomic Issues for Health Professionals, Applied Techniques of Manual Therapy, Comprehensive Treatment of the Foot and Ankle, Work Conditioning and Work Hardening, Treatment of the Lumbar Complex, Ergonomics and More, Partnering With Business and Industry-Center for Work Rehabilitation.
“Recovery and return to pre-injury activities and work requires an individualized treatment approach with an emphasis on patient education to empower the patient towards self-management of their injury history.”
Industrial Services Specialist
Student Program Coordinator