| NPI | 1831734920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LOGAN Business Owner 443-415-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |