| NPI | 1497417497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH BARNARD Office Manager 215-578-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-01-03 |