| NPI | 1407463417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN THOMAS O'DONNELL Principal 814-722-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-01-10 |