| NPI | 1710241062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GOLDENBERG President/Owner 410-458-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21561) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2025-10-17 |