| NPI | 1104878412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MONAHAN-GATTO CEO 570-344-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-09-17 |