| NPI | 1417115049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY K. ROGAN Vice President 302-645-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0000810) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002288) |
| 225100000X Physical Therapist (Licence: DE J1-0001325) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |