| NPI | 1669833661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE D. JACKSON President/ CEO 240-245-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 23062) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-04-14 |