| NPI | 1417209693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC CIRIGLIANO Co Owner 724-339-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS014379) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-05-20 |