| NPI | 1215817648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D WILLIAMS Authorization Coodinator 717-791-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |