| NPI | 1043312036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN BALAKIRSKY Vice President Of Operations 410-486-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-07-14 |