| NPI | 1518119205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN BALAKIRSKY BALAKIRSKY Vice President 410-318-6253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |