| NPI | 1134263122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA LEIGH LORD Owner, Director 202-271-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DC 870527) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 21386) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: DE J1000-2553) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-12-16 |