NPI | 1114025418 |
---|---|
Doing Business As | INDUSTRIAL HEALTH CARE, CENTER FOR REHAB AND FITNESS |
Entity Type | Organization |
Authorized Contact | MAUREEN FREDERICK Principle 215-677-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052018-LPA) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT005508L) |
225100000X Physical Therapist (Licence: PA PT008212-L) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |