| NPI | 1477365849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DORN CEO/Owner 410-916-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2026-10-08 |