| NPI | 1003521410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA C JOHNSON Owner 202-531-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 171400000X Health & Wellness Coach | |
| 202D00000X Integrative Medicine | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 207K00000X Allergy & Immunology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 225100000X Physical Therapist | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-03-03 |