| NPI | 1215138409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FRED LIPSCHUTZ Clinic Director 301-762-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MD S01599) |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine (Licence: MD H0050666) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |