| NPI | 1609475912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FRAZIER Administrator 443-622-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-10-07 |