| NPI | 1376951301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE KAY-DAWN FORRESTER CEO 215-921-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PA SC006280) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-09-19 |