| NPI | 1750379905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE G HARRIS Physical Therapist 410-391-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 11350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 10800) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2010-09-09 |