| NPI | 1578749982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY TARR Owner 724-206-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT018978) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-06-09 |