NPI | 1205213923 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BRICKLEY Vice President Ambulatory Operation 301-540-6140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2015-05-01 |
Last Update Date | 2016-02-18 |