| NPI | 1760992556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEOVANY QUINTANILLA Practice Administrator 301-590-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |