| NPI | 1356089379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WHITTEN Billing Manager 443-842-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |