| NPI | 1245230754 |
|---|---|
| Doing Business As | PENNSPORT WEST |
| Entity Type | Organization |
| Authorized Contact | VINCENT P ESPOSITO Vice President 215-467-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |