| NPI | 1013933662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS PALENCHAR Physical Therapist 410-714-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 21836) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |