| NPI | 1750103768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L WROTEN Practice Administrator 410-463-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |