| NPI | 1780732982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWALT DAVID BENDER Physical Therapist 410-258-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20197) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2025-04-09 |