| NPI | 1295769370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL EDWARD DAVIESS President/Administrator 412-481-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |