| NPI | 1851899736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TYSON Owner 301-828-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 22203) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |