| NPI | 1922429935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYARATHNE KOTTAGE Owner 240-778-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101254569) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |