| NPI | 1477991453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAX XI Md/Owner 717-875-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01072157A) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |