| NPI | 1689927055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GALE HINE CEO 301-801-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18112) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2022-07-21 |