| NPI | 1770968687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE ELKINS FIDEL Co Owner 410-358-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-06-10 |