| NPI | 1679020564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-05-24 |