| NPI | 1689181414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LUKO Owner, Physical Therapy 240-514-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210863) |
| 225100000X Physical Therapist (Licence: MD 225100000X) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-12-26 |