| NPI | 1043733397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEAN FREAS CEO 410-571-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-09-27 |