| NPI | 1205435567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A BARDWELL President 703-705-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 171M00000X Case Manager/Care Coordinator | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 363L00000X Nurse Practitioner | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |