| NPI | 1023040128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL D. TRENT Owner 202-409-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17825) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04737) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-05-11 |