| NPI | 1508335175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAH D JACK Principal 240-409-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-07-29 |