| NPI | 1992176804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALGORZATA GRZYBOWSKA Manager/Administrator/Provider 571-228-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119002418) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2015-10-18 |