| NPI | 1700630472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBOSSON Practice Manager 301-722-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |