| NPI | 1265962583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE R BASH CFO 301-552-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 20838) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-26 |