| NPI | 1790038958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DISEATI Kinesiotherapist 301-230-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 226300000X Kinesiotherapist |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |