| NPI | 1134397722 |
|---|---|
| Doing Business As | WALKERSVILLE SPORT & SPINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CONNIE F GOODING Billing Specialist 301-662-8541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 17003) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |