| NPI | 1518500263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBOSSON Practice Manager 240-727-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-07-23 |