| NPI | 1285791236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DENISE JONES President 301-856-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17199) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04392) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |