| NPI | 1902396005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKSIM BIRIKOV Doctor Of Physical Therapy 443-831-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD 25385) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-05-20 |