| NPI | 1790043255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM BLEECKER Director 301-657-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-03-24 |