| NPI | 1124488176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA EZEANI Owner 301-332-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2024-05-20 |