| NPI | 1053604348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA TRACELYN COLON Physical Therapist 301-452-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204344) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2015-02-03 |