| NPI | 1952973752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALI SPRANKLE Vice President Of Managed Care 443-566-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |