NPI | 1629201991 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER J KUNGLE President 301-437-1266 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: MD TA1673) |
Enumeration Date | 2009-09-02 |
Last Update Date | 2010-03-03 |