| NPI | 1376355263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA PEOPLES A VP, Credentialing & Payer Enrollme 571-650-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2026-01-27 |