| NPI | 1023457058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TOKACH President 570-322-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-04-21 |