| NPI | 1730622747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDRE DUANE GIBSON Pathologist 301-278-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MA 001) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MA 001) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |