NPI | 1558889857 |
---|---|
Entity Type | Organization |
Authorized Contact | ASIA MARIA JOHNSON CEO 410-982-1353 |
Organization Subpart ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MD LC2133) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2017-09-07 |