| NPI | 1396258380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KRISTOFF Office Manager 215-957-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004566L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD067744L) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-06-09 |