| NPI | 1649932104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE CLIFFORD Owner/Clinic Director 410-216-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |