| NPI | 1235850173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MORROW Owner 443-512-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-05-06 |