| NPI | 1396122842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-07-16 |