NPI | 1326438920 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA M ANNA CEO 814-684-1255 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA 46030101) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA 46030101) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2019-05-09 |