| NPI | 1245485325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN MICHAEL MOORE President/Owner 484-459-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: DE 2003104444) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2009-02-02 |