| NPI | 1811409717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK E GAINER Owner 240-344-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |