| NPI | 1669536207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA MILLER Billing Supervisor 410-282-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-12-22 |