| NPI | 1124841234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBOSSON Practice Manager 240-727-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |