| NPI | 1053573915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A LUPO President 814-866-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC005039L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS008755L) |
| 207Q00000X Family Medicine (Licence: PA OS008755L) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA DC005039L) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-07-21 |