| NPI | 1134884596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA JOHNSON Owner 215-201-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 111NS0005X Chiropractor Sports Physician | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |