| NPI | 1922419506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C FREDERIC Member 301-421-1125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2016-05-12 |