| NPI | 1477593986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. SCOTT FRAZIER Business Manager 410-321-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15312) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |