| NPI | 1386990687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GREGORY GULITZ President 443-500-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03660) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD S03660) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-06-21 |