| NPI | 1013190073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA T. ONGWELA Physical Therapist/Owner 410-880-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 18313) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |