| NPI | 1891808200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN LISA LANGRILL Owner CEO 410-285-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 14411) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |