| NPI | 1235704180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MASSIMINO SHELTON Physical Therapist 814-496-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |