| NPI | 1801945878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN CLATWORTHY Member 410-730-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 20214) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-05 |