| NPI | 1326510280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA R FREDERIC Owner 301-421-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-10-15 |