| NPI | 1316413222 |
|---|---|
| Other Name | PAIN & WELLNESS THERAPIES |
| Former Legal Business Name | PAIN & WELLNESS THERAPIES |
| Entity Type | Organization |
| Authorized Contact | LESLIE OGBEBOR Nurse Practitioner 301-592-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-04-10 |