| NPI | 1477757755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN AYANIAN MADHOK Executive Director 301-649-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-12-13 |