| NPI | 1104824937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE L JOHNS Director 610-562-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT000260-E) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC-000275-L) |
| 225100000X Physical Therapist (Licence: PA PT-012979-L) | |
| 225200000X Physical Therapy Assistant (Licence: PA TE000401L) | |
| 225200000X Physical Therapy Assistant (Licence: PA PT012979L) | |
| 225200000X Physical Therapy Assistant (Licence: PA TE000736L) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2014-08-05 |