| NPI | 1285673517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G HINCAPIE Clinical Director 215-455-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-009127L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA PT-009127L) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-06-09 |