| NPI | 1063695088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL SUPER Owner 484-951-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT009952L) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-04-30 |