| NPI | 1679588156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED L WILSON CFO 301-920-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-05-18 |