| NPI | 1508115056 |
|---|---|
| Doing Business As | SPORTS AND BACK REHABILIATION |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M BORMAN CEO 215-752-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |