| NPI | 1265542070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE WHITE Owner 301-908-6237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-03-11 |