| NPI | 1588174619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FULLER BECKWITH Owner 240-350-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 06353) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-09-18 |