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 |