| NPI | 1326411877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E BERTRAM Owner 301-766-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23476) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02058) |
| 225100000X Physical Therapist (Licence: MD 24958) | |
| 225700000X Massage Therapist (Licence: MD M05356) | |
| 225700000X Massage Therapist (Licence: MD M05395) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |