| NPI | 1154466233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L EARLEY Office Manager 410-543-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17381) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |