| NPI | 1225398050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MARIE BLAINE Sole Member 215-491-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT018677) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2012-05-27 |