| NPI | 1528853918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HENDERSON Mgr 240-418-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-05-25 |