NPI | 1538518048 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER JACKSON-PENA Owner/Director 240-535-4036 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 05710) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |