| NPI | 1467521427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S FAVA President 610-543-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-09-14 |