| NPI | 1275679748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY RAVAVICH Office Manager 570-558-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC008716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA AJ008700) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-06-19 |