| NPI | 1265677579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN COHN Manager/O PT Ician 410-601-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MD 30-062) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2022-01-28 |