| NPI | 1871776898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MARIE MASSET Owner 202-429-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: DC pt2487) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 18405) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |