| NPI | 1962893768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ELIZABETH BRANCH Licensed Physical Therapy Assistant 443-559-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD A2517) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |