| NPI | 1578859690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRYAN STAUB Owner 724-986-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 004651) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |