| NPI | 1437292737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L HATT Sr. Provider Enrollment Specialist 814-452-5772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-11-09 |