| NPI | 1003432097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOLOLU OLUWATOSIN MAJEKODUNMI CEO 240-336-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |