| NPI | 1386824936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT BAKER Practice Manager 410-571-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-04-30 |