| NPI | 1962882647 |
|---|---|
| Former Legal Business Name | BONNIE SCHULMAN |
| Entity Type | Organization |
| Authorized Contact | JOSHUA WIES Owner 410-542-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 18331) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |