| NPI | 1508590407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA METAL-CONFER Sr. Credentialing Specialist 724-584-5739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-29 |