| NPI | 1548229859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ZELIG KANNER Officer 410-486-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MD D0020618) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: MD D0020618) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-03-07 |