| NPI | 1639507221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY YOST General Counsel 301-864-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235500000X Specialist/Technologist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |