| NPI | 1700078151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA MATEJKA Owner/Therapist 410-452-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02270) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2009-04-22 |