| NPI | 1548559602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDREW NUNN Owner/Director 443-812-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21596) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |