| NPI | 1245421007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JOHN FISH Clinic Director 301-519-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD 01987) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-06-09 |