| NPI | 1104160662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P JORDAN Physical Therapist Assistant 410-479-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: MD A3417) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |