| NPI | 1881953354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTEN DAVIS COO 301-694-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |