| NPI | 1053825190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MYERS HENDERSON Owner 443-524-0753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 5867) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |