| NPI | 1821625294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZALYN MOORE Owner 301-325-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| 251E00000X Home Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |