| NPI | 1821581737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBOSSON Office Manager 301-722-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-09-22 |