| NPI | 1336254192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAKER Office Manager 301-662-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-09-11 |