NPI | 1417570532 |
---|---|
Doing Business As | OUTLAST HEALTH AND PERFORMANCE |
Entity Type | Organization |
Authorized Contact | COREY ANDREW HALL Owner 443-564-6085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-05-22 |
Last Update Date | 2023-12-30 |