| NPI | 1275814808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELLIS Physical Therapy Assistant 301-877-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174H00000X Health Educator | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-11-14 |