| NPI | 1578747077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L. FULLER-HINES President 215-287-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2007-00519) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2013-06-10 |