| NPI | 1558738344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN VALENCIC President 814-233-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: SC 3709) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |