| NPI | 1669013462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESA PAVER Practice Administrator 301-853-0093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-06-04 |