NPI | 1366808990 |
---|---|
Doing Business As | PERFORMANCE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ERIC M GORDON Owner 410-977-9416 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17059) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |