| NPI | 1376536565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK ANTONIO MARTIN Physical Therapiat 301-562-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 18131) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |