| NPI | 1053613828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL CICHOSZ Manager 240-463-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005347) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |