NPI | 1649500778 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH ELAINE KOVAL Managing Member/Owner 610-659-0329 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008500) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2010-01-12 |