| NPI | 1669013462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESA PAVER Practice Administrator 301-853-0093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-02-19 |