| NPI | 1528240850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BAUR Owner 410-662-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MD 20271) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-08-31 |