NPI | 1376738260 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN GODFREY Owner/Provider 717-406-3013 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS012799) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2022-07-21 |