| NPI | 1265005581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA METAL-CONFER Sr. Credentialing Specialist 724-448-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-01-10 |