| NPI | 1487805685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE E HAILE Owner 410-571-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MD 16024) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2020-03-19 |