| NPI | 1942208186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SCOTT MICHAELSON Owner/Operator 410-486-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 17822) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |