| NPI | 1396416616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN SHANNON Owner/Physical Therapist 240-447-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |