| NPI | 1588909857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON BOND Clinical Director 202-806-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2014-10-21 |