| NPI | 1235134248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A FABER Treasurer/Owner 724-282-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT003596L) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |