| NPI | 1114108545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PETERS Office Manager/Adminstrator 410-522-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17174) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2023-08-30 |