| NPI | 1780270504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ICMAT RIVERA Owner 202-255-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-06-21 |