| NPI | 1053715664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MOYER Physical Therapist 610-737-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TX 1249341) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |