| NPI | 1225269624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES RICHARDSON Clinical Director 215-725-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health (Licence: PA DC003974L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000149) |
| 225200000X Physical Therapy Assistant (Licence: PA TE007437) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |