NPI | 1508013848 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE DAVIS Assistant Office Manager 410-604-2982 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15936) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16487) |
225X00000X Occupational Therapist (Licence: MD 01003) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2008-08-19 |
Last Update Date | 2020-06-09 |