| NPI | 1831911106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CAMPBELL VP Of Finance 443-849-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-09-23 |