| NPI | 1770629834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KRABAK Program Director 410-502-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD P20005) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |