| NPI | 1033578497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSAND CRISPO PALMER Owner 301-887-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19954) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870251) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |