| NPI | 1417256520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA HILL Owner 443-804-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MD 04330) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 04330) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |