| NPI | 1538489802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN FREDERIC Owner 301-421-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 22235) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-05-09 |