| NPI | 1538627492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GARRISON Manager/Therapist 410-726-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-28 |