| NPI | 1104880590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E. REITZ Owner/President 610-853-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT003694L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-02-14 |