| NPI | 1871161299 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | WENDY BENTON Owner/Physical Therapist 443-745-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |