| NPI | 1407955651 |
|---|---|
| Doing Business As | PENINSULA REHAB & SPORTS MEDICINE, INC. |
| Entity Type | Organization |
| Authorized Contact | LESLEY K. ROGAN Vice President 410-213-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MD 19831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19831) |
| 225100000X Physical Therapist (Licence: MD 19532) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-26 |