| NPI | 1427316553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CAICEDO CEO 301-779-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2023-03-29 |