| NPI | 1619073624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LOUIS YOUNG Physical Therapist 610-458-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT012318L) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |