| NPI | 1982792099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R SALLITT Administrative Director 410-740-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-21 |