| NPI | 1154692747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESA STOUT CEO/Therapist 570-672-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT001749E) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |