| NPI | 1639547169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM DOVELLE Practitioner/Owner 301-881-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MD 01884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20849) |
| 225100000X Physical Therapist (Licence: MD 22635) | |
| 225XH1200X Occupational Therapist, Hand (Licence: MD 01450) | |
| 225XH1200X Occupational Therapist, Hand (Licence: MD 06977) | |
| 225XH1200X Occupational Therapist, Hand (Licence: MD 07005) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |