| NPI | 1124562863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA FREDERIC Business Owner 301-421-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-10-15 |