| NPI | 1649785676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK VANTERPOOL CEO 202-302-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-03-12 |