| NPI | 1164533303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A DOMINQUEZ Chief Executive Officer Owner 717-591-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT007707L) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-24 |