NPI | 1750160628 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE CHRISTOPHER GRACEY Authorized Official/Owner 202-210-7074 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2023-09-28 |
Last Update Date | 2023-09-28 |