| NPI | 1568787414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY JO THOMAS Office Manager 410-341-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MD H0029243) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |