| NPI | 1588873558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE R ELLIS Member 610-971-6969 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PA008710-E) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-06-30 |