| NPI | 1558367185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE SMITH Administrative Assistant 814-443-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 123535) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-04-18 |