| NPI | 1124105473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SNYDER Billing Agent 610-282-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA 186190) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |