| NPI | 1073055547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JUNG Director 443-979-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 22943) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2022-01-20 |