| NPI | 1770904278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA SULEMAN Physical Therapist 410-409-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MD 18993) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2016-08-14 |