| NPI | 1699087106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ZETS Business Manager 410-337-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18506) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MD 18506) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MD 18506) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |