| NPI | 1871959726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DE CONTI Clinical Services Director 443-812-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 230525109) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2018-08-02 |