| NPI | 1205101938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT HISCOCK Business Manager 301-257-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-08-26 |