| NPI | 1245235415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE HAMELL Business Office Manager 610-760-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC1900X Psychologist Counseling | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-10-05 |