| NPI | 1770294951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEENA MARIE PETERSEN Physical Therapist 240-712-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-07-29 |