| NPI | 1396836052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID WAH President/Owner 410-529-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15366) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-01-12 |