| NPI | 1003855461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M. KELCH Director 410-768-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD A1924) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-10-25 |