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 |