| NPI | 1366986762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROEL MANUEL EVANGELISTA Managing Member 443-979-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22980) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |