| NPI | 1720494008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE A PETERS Owner 202-445-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D72778) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-08 |