| NPI | 1710536214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIANA OM Manager 301-906-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |