| NPI | 1780171579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHERSON ENRIQUE OROSCO MARINO Owner 301-869-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |