NPI | 1609417401 |
---|---|
Entity Type | Organization |
Authorized Contact | JANESA PAVER Practice Administrator 301-853-0093 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2019-10-02 |
Last Update Date | 2020-02-19 |