| NPI | 1639117377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TUTAS Owner, President 410-569-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 19053) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 02779) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |