| NPI | 1134486053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA A PITTS Physical Therapist 267-252-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018043) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 225X00000X Occupational Therapist (Licence: PA PT018043) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA PT018043) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-06-04 |