| NPI | 1487726436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE GRANT Owner 410-548-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01397) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-09-22 |