| NPI | 1639574502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MICHELLE HILLMANN PRENTICE Owner 410-573-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 17012) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |