| 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 |