| NPI | 1720605199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA SHALOM Owner 410-394-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-05-31 |