| NPI | 1538386172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN S WALLACE President 724-713-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016454) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |