| NPI | 1164967832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE MARINEZ Physical Therapist 410-487-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL pt-24885) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |