| NPI | 1528614690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SHETTLE Doctorate Of Physical Therapy 717-817-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |