| NPI | 1457350803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANNE GAGNON President 717-540-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT008447L) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-11-04 |