| NPI | 1104029719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT PETERSON President 724-477-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT007818L) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2020-08-22 |