| NPI | 1124131933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A GRACE Audiologist Owner 301-434-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 824) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 897) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-01-04 |