| NPI | 1053508671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA TOBY KIMMEL President 240-277-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC 1926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 862) |
| 225100000X Physical Therapist (Licence: MD 15251) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |