| NPI | 1073936407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH K HAGERTY Managing Member 410-987-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17817) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |