NPI | 1568457935 |
---|---|
Other Name | COMPREHENSIVE ATHLETIC TRAINING CENTER |
Entity Type | Organization |
Authorized Contact | AMY LYNN DIEHM Billing Manager 610-685-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-09-12 |