| NPI | 1427306588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY JEAN KENNEDY Physical Therapist 301-616-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18757) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-10-02 |