| NPI | 1154020766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SEYMORE Owner 410-808-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-07 |