| NPI | 1770361172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DICKSON Owner/Physical Therapist 443-614-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |