| NPI | 1134434665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN ABEDI CFO 240-543-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R116795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18214) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2021-10-05 |