| NPI | 1396870283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY M BAYNE Business Manager 410-933-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18089) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-06-10 |