| NPI | 1174842686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE BUDDY Credentialing Coordinator 610-359-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2022-02-10 |