| NPI | 1598163610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED S MANSOUR Owner 301-957-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23820) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2014-12-31 |