| NPI | 1215030812 |
|---|---|
| Doing Business As | MAIN LINE SPINE |
| Entity Type | Organization |
| Authorized Contact | ROY MICHAEL LERMAN Medical Director 610-337-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-11-28 |