| NPI | 1861824963 |
|---|---|
| Doing Business As | MARYLAND SPINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | ROCHELIN HEROLD Director 410-877-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: MD S03558) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20804) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |