NPI | 1548053481 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN MORROW Owner 443-512-8337 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2025-05-23 |
Last Update Date | 2025-06-24 |