| NPI | 1215565957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT ROSEWAG Owner 410-442-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-06-17 |