| 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 |