| NPI | 1285904854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NANCY BONSACK Owner 410-272-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 15890) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-09-14 |