| NPI | 1174093652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GARDNER Manaager Of Prov & Payor Enrollment 717-839-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |