| NPI | 1356181911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD KIBANG Owner 240-413-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 231H00000X Audiologist |
| 253Z00000X In Home Supportive Care | |
| 224ZR0403X Occupational Therapy Assistant Driving and Community Mobility | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |