| NPI | 1609291459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M BALMER Owner 814-654-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA os007522l) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: PA os007522l) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: PA os015735) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA 0s015735) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |