| NPI | 1609887579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT DONAHUE Executive Director 215-743-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT010629L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00164100) |
| 225X00000X Occupational Therapist (Licence: PA OC004531L) | |
| 225100000X Physical Therapist (Licence: NJ 40QA00643800) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2026-02-11 |