| NPI | 1215346879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIA BENAQUISTA DESIPIO President 215-284-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS015314) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: PA OS015314) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |