| Organization Name: | WELL BODY REHAB |
| NPI Number: | 1003168998 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN SAMANTHA FLOWERS (OWNER) |
| Mailing Address: | 15 N Symington Ave Catonsville |
| State: | MD US |
| Postal Code: | 212282006 |
| Phone Number: | 4104562923 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2012 |
| NPI Last Update Date: | 10/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |