| NPI | 1518950641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE M CLARK Credentialing COO Rdinator 301-334-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-07-21 |