| NPI | 1528698149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARCOALDI Contracting/Credentialing Specialis 724-343-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |