Organization
INFRASTRUCTURED INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE DISEATI AADP (KINESIOTHERAPIST)
(301) 230-3131
Entity
Organization
Contact information
Practice address
4701 RANDOLPH ROAD, SUITE 208, ROCKVILLE, MD 20852
(301) 230-3131
Mailing address
4701 RANDOLPH ROAD, SUITE 208, ROCKVILLE, MD 20852
(301) 230-3131
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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