| 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 |