| NPI | 1083313662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH SHAUGHNESSY Certified Wound Care Specialist 610-349-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |