| NPI | 1336145127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY BOGGS Vice President 443-721-4452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-02-23 |