| NPI | 1952371882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DOMSER President 410-848-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16859) |
| 225100000X Physical Therapist (Licence: MD 17083) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-02-28 |