| NPI | 1255403382 |
|---|---|
| Doing Business As | SPORTS INJURY TREATMENT CENTER OF NORTHEASTERN PA |
| Entity Type | Organization |
| Authorized Contact | KIM ANN WOLFEL Controller 570-346-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-12-06 |