| NPI | 1528082138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE LOUISE FORTH President 215-605-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD069195L) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-08-26 |