| NPI | 1215747316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE FRANCES ALSTON Owner 443-955-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |