| 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 |