| NPI | 1043311764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA L TABUENA Attending Physician 215-887-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD039601L) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |