NPI | 1710459938 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN ASHLEY LEIS Physical Therapist 301-526-9014 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
2251P0200X Physical Therapist, Pediatrics | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |