| NPI | 1235387762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BAKER Administrator 240-617-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-03-22 |