| NPI | 1447634050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW J. ABRAHAM Director/Owner 267-462-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD441402) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-08-24 |