| NPI | 1669604773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A PUSEY Therapist 484-744-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PA PC000481) |
| Additional Taxonomies | 251S00000X (Licence: PA PC 000481) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |