| NPI | 1255377263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L RAEBEL Pa 479-631-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR 1923) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |