| NPI | 1336320209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCKERNAN CEO 302-738-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0000806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001588) |
| 225100000X Physical Therapist (Licence: DE J1-0002002) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |