| NPI | 1609238971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARINO Physical Therapist 610-269-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: PA PT014270L) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: PA PT014270L) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-06-13 |