NPI | 1669704508 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL Medical Doctor 301-723-4380 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MD D0050636) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |