| NPI | 1578913737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MACKELL President 484-787-2267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305001607) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 1457491391) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008072) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-10-02 |