| NPI | 1164865234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE MORRIS WHITE Owner 215-579-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-01-28 |