| NPI | 1538642756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART HIMMELSTEIN Owner 215-632-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 208VP0000X | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-11-20 |