| NPI | 1053487470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MEDLIN PIERCE Clinic Director Physical Therapist 410-683-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 20605) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |