| NPI | 1083895874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCCANDLESS O PT Ician 215-766-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |