| NPI | 1558722397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI SAMARA BERGER President 443-948-6609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 19223) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-06-07 |