| NPI | 1912208240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M. DILLA President 301-681-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 14012) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |