| NPI | 1316350077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PETERSON Owner/Clinician 410-371-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 20342) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-12-10 |