| NPI | 1285611608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL ANDREW CLARKE Director Of PT Owner 301-599-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 2800) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-09-01 |