| NPI | 1083924989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD WILT CEO 814-330-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016349) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009189) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |