| NPI | 1407568439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRA SUSANA GUIFARRO Administration Manager 301-326-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |