| NPI | 1013770924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THOMAS Executive Administrator 202-830-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-11-01 |