| NPI | 1336808146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAKI DESHMUKH Sr. Credentialing Specialist 610-438-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2024-04-29 |