| NPI | 1780724617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J SMOOTZ Manager 410-414-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 15757) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-10-06 |