| NPI | 1043217524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW FLETCHER Owner 410-573-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19655) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: MD 19655) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MD 19655) | |
| 2251N0400X Physical Therapist, Neurology (Licence: MD 19655) | |
| 2251S0007X Physical Therapist, Sports (Licence: MD 19655) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MD 19655) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-10-14 |