| NPI | 1598506552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ITSKEVICH Co Founder/Physician 301-363-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-08-02 |