Provider First Line Business Practice Location Address:
102 IRVING ST. NW
Provider Second Line Business Practice Location Address:
DEPT OF PHYSICAL MEDICINE & REHABILITATION
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010-2949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-877-1587
Provider Business Practice Location Address Fax Number:
202-829-2632
Provider Enumeration Date:
04/19/2016