| NPI | 1245618925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT EGONU Owner 443-473-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-12-05 |