| NPI | 1669263984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA A ODINDO Enrollment Manager 202-865-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |