| NPI | 1780962407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARY HEITZMANN Owner 443-799-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 19228) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |