| NPI | 1902331085 |
|---|---|
| Doing Business As | BLUE ROOM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CONRAD SULTAN OSIPOWICZ President 240-505-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |