| NPI | 1265096382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE THOMPSON Office Manager 410-321-0377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |