| 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 |