| NPI | 1659985711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GELBAUGH Manager Of Regulatory Affairs 717-975-4510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2021-08-04 |