| NPI | 1619279551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MIKELE MOWRY Doctor 410-604-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD 21949) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |