| NPI | 1972959815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY WIMBERLY Billing Assistant 410-394-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28529) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |