NPI | 1386635076 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFRED JAMES TOLBERT President 610-269-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT00281L) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL000071L) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA D00378) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2007-08-23 |