| NPI | 1558559021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WILLIAM WARD Owner/Director 410-916-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19304) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |