| NPI | 1164196952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SIGMON Interim Cco 410-970-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| 225XH1200X Occupational Therapist Hand | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |