| NPI | 1821081233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WHITTAKER President 301-417-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 15462111) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-01-05 |