| NPI | 1144310145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO FISHBURN Owner 410-821-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D38344) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-08-14 |