| NPI | 1629730635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BURNS Owner 215-817-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-12-01 |