NPI | 1275240012 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN MORROW Owner 443-512-8337 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2022-11-01 |
Last Update Date | 2024-05-07 |