| NPI | 1588851018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOERRE H BREVIK Owner Physical Therapist 724-773-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT006308L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT017362) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |