| NPI | 1154075562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN W MILLS Credentialing Specialist 814-577-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-02-05 |