| NPI | 1114241361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA GERACHENKO President 301-990-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18893) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2011-02-02 |