| NPI | 1861042954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LYNCH Owner 410-493-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2022-11-16 |