| NPI | 1063469740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE GLAZER President 610-254-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: PA DC007347L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA AJ-007347-L) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-06-14 |