| NPI | 1316452451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JOHNSON CEO 814-574-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-01-24 |