| NPI | 1407539026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ISLEIB Owner 610-488-2931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-04-26 |