| 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 |