| NPI | 1073972824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS H. ODIE Owner 410-780-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |