| NPI | 1780244624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KRAUS Clinical Director 301-656-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2021-01-07 |