| NPI | 1598966244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MITCHELL KELLEHER Physician 717-818-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 206597) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |