| NPI | 1619772399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBOSSON Practice Manager 240-727-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |