NPI | 1760092944 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKIELA RE' NELSON Doctor Of Physical Therapy 301-785-1025 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-08-03 |
Last Update Date | 2025-03-20 |