| NPI | 1720471345 |
|---|---|
| Doing Business As | REVOLUTION REHAB |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SEAN BOURDEAU Physical Therapist 301-848-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 24069) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 23944) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-04-02 |