| NPI | 1033884226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LOCKE Owner 443-994-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |