| NPI | 1184054637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN OWENS Owner 410-975-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16378) |
| 225700000X Massage Therapist (Licence: MD Mo4549) | |
| 225100000X Physical Therapist (Licence: MD 17413) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2014-02-13 |