| NPI | 1851651038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSHEVA FRIEDMAN Owner 410-929-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-10-07 |