| NPI | 1609254804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA JUODAWLKIS PESCI Physical Therapist 410-949-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501009694) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |