| NPI | 1780012252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHILPA GANDHI Office Manager 443-991-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2016-02-01 |