NPI | 1043645948 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMALA N BONGIORNO Owner 610-270-0370 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT021080) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2017-02-09 |