| NPI | 1053061267 | 
|---|---|
| Doing Business As | JHU-PM&R/PHYSICAL THERAPIST | 
| Entity Type | Organization | 
| Authorized Contact | SHAVONDA L KEATING Director A/R Operations 410-933-6430  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports | 
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-03-29 | 
| Last Update Date | 2022-03-29 |