| NPI | 1407037823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE WICKFIELD Ofc. Mgr 410-869-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 14312) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2011-10-20 |