| NPI | 1649381369 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | IBRAHIMA DIALLO Director 301-446-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19812) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870275) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-01-03 |