| NPI | 1518778612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON WOOLCOCK Owner/Physical Therapist 570-419-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |