| NPI | 1417389529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUDE BENNETT Owner 814-943-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT014135) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |