| NPI | 1093867087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY FORD Business Manager 410-956-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |