| NPI | 1649246208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE MERRITT Office Manager 215-757-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015120) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |