| NPI | 1679785067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EZE ONYEWUCHI President 410-633-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17827) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2013-01-02 |