| NPI | 1417033259 |
|---|---|
| Doing Business As | OUT PATIENT REHAB |
| Entity Type | Organization |
| Authorized Contact | MARY WAGNER Director 410-600-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |