| NPI | 1114612330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADRAIG L TANGNEY Authorized Official 215-538-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225CX0006X |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |