| NPI | 1821393844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHOCKLEY Medical Director 240-206-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0069766) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-25 |