| NPI | 1255666012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. BANCO President 610-372-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2016-09-15 |