| NPI | 1114660354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MATHEW Director 703-587-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-19 |