| NPI | 1912140112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E DIXON Owner 301-829-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MD 140233) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |