| NPI | 1811032865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MORALES Sole Proprietor 410-531-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15420) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-07-16 |