| NPI | 1609896067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A MOSER Billing Manager 301-797-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 111N00000X Chiropractor | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-05-29 |