| NPI | 1033714258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ROBERSON Physical Therapist Assistant 301-346-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |