| NPI | 1396236378 |
|---|---|
| Doing Business As | EASTERN SHORE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRIAN M LACKEY President 251-928-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |