| NPI | 1710672639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIMENA NATALIA RODRIGUEZ LUJAN Athletic Trainer 202-341-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-19 |