| NPI | 1861806804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS MARQUESS Owner 443-926-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MD 19806) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |