| NPI | 1609580281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS TESHOME Owner 215-432-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |