| NPI | 1336526276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director System Credentialling 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-05-06 |