| NPI | 1013940899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C. SHAK Owner 610-253-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013574L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013653L) |
| 225100000X Physical Therapist (Licence: PA PT016511) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |