| NPI | 1407066129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE KOSCHINEG President 215-913-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: PA OC008082) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-10 |