| NPI | 1326323098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PATRICK BANCO President 610-372-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-12-29 |