| NPI | 1710147608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LEHNEN Reimbursement Manager 301-856-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20764) |
| 225100000X Physical Therapist (Licence: VA 2305006484) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |