| NPI | 1235562166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED BANKO Owner/Dr 610-252-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022924) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC001707L) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2015-09-21 |