| NPI | 1881775161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESA PAVER Practice Administrator 301-853-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-08-23 |