| NPI | 1134468598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN DIGWOOD Owner 570-991-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT011055L) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2018-06-06 |