| 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 |