| NPI | 1063744191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PAPANIA Manager 410-889-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22883) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06513) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 07291) | |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2015-03-13 |