| NPI | 1003313966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY HITE Owner 410-997-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2021-10-12 |