| NPI | 1205101938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT THAKUR Claims Processor 202-234-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MD 06499) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 06499) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |