| NPI | 1629783824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ODUKOYA Managing Director 301-841-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NR0400X |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-09-30 |