NPI | 1164106654 |
---|---|
Doing Business As | INDIGO PHYSIOTHERAPY |
Entity Type | Organization |
Authorized Contact | SAMANTHA DUFLO Chief Medical Officer 410-601-3991 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |