| NPI | 1083077499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS Sole Member 410-625-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-04 |