| NPI | 1497287361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SHAWANDA EDWARDS Owner 301-772-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |