| NPI | 1235422759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J PEZZELLO Owner 215-508-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD034915E) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA MD032971E) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2015-08-10 |