| NPI | 1558438754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY PREWITT Sole Owner 215-991-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-006992-L) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-02-06 |