| NPI | 1477172625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYKOLA MATSYUK President 410-565-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |