NPI | 1982859930 |
---|---|
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 (Licence: VA 2305205179) |
Enumeration Date | 2008-11-18 |
Last Update Date | 2016-11-29 |