| NPI | 1265954960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE STILES Physical Therapist 443-622-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209030) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |