| NPI | 1356460331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM YIMER ASMAMAW President 703-820-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101223994) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: VA 0101223994) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-04-01 |