| NPI | 1225998305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEGAN MORIARTY CEO 301-682-2044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-04-23 |