| 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 |